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1104190628
MICHAEL MATTHEWS
JACKSON, MS
NPI
1104190628
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MS 2273)
Enumeration Date
2012-03-01
Last Update Date
2012-03-01
Business Address
-- MICHAEL MATTHEWS
3450 HIGHWAY 80 W
JACKSON, MS 39209-7201
Phone number: 601-321-2497
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Mailing Address
-- MICHAEL MATTHEWS
3450 HIGHWAY 80 W
JACKSON, MS 39209-7201
Phone number: 601-321-2497
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