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1124616354
DELTA LIFE THERAPEUTIC SOLUTIONS PLLC
ITTA BENA, MS
NPI
1124616354
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Entity Type
Organization
Authorized Contact
EMELJA QUINN
CEO
662-458-0408
Organization Subpart ?
No
Primary Taxonomy
251S00000X Community/Behavioral Health
Enumeration Date
2021-01-04
Last Update Date
2021-01-04
Business Address
DELTA LIFE THERAPEUTIC SOLUTIONS PLLC
705 1/2 CLEVELAND ST
ITTA BENA, MS 38941
Phone number: 662-458-0408
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Mailing Address
DELTA LIFE THERAPEUTIC SOLUTIONS PLLC
705 CLEVELAND ST
ITTA BENA, MS 38941-2603
Phone number:
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