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1134528516
MELISSA BORDELON SHIELDS
BRANDON, MS
NPI
1134528516
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: MS 1912)
Enumeration Date
2014-08-21
Last Update Date
2014-08-21
Business Address
MELISSA BORDELON SHIELDS LPC
613 MARQUETTE RD
BRANDON, MS 39042-3038
Phone number: 601-825-8800
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Mailing Address
MELISSA BORDELON SHIELDS LPC
PO BOX 88
BRANDON, MS 39043-0088
Phone number: 601-825-8800
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