WANDA GRACE MCCULLOUGH

KOSCIUSKO, MS
NPI1083994701
Former NameWANDA GRACE SHARP
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MS  C1197)
Enumeration Date2011-08-25
Last Update Date2011-08-25
Business Address
Ms. WANDA GRACE MCCULLOUGH LCSW
332 HIGHWAY 12 W
KOSCIUSKO, MS 39090-3209
Phone number: 662-289-1800
Mailing Address
Ms. WANDA GRACE MCCULLOUGH LCSW
214 GRACE LN
FLORA, MS 39071-6005
Phone number: 601-500-2727
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