TRACEY MICHELLE MARK-BOSTON

PICAYUNE, MS
NPI1134164254
Former NameTRACEY MICHELLE MARK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: MS  C3690)
Enumeration Date2006-06-20
Last Update Date2009-02-06
Business Address
-- TRACEY MICHELLE MARK-BOSTON LCSW
703 W CANAL ST
PICAYUNE, MS 39466-3918
Phone number: 601-749-9477
Mailing Address
-- TRACEY MICHELLE MARK-BOSTON LCSW
2314 WALKER ST
PICAYUNE, MS 39466-3066
Phone number: 228-234-2918
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