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1154885614
C DIANE M ALLGOOD
GULFPORT, MS
NPI
1154885614
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: MS CH3255)
Enumeration Date
2019-01-29
Last Update Date
2019-01-29
Business Address
C DIANE M ALLGOOD MSW, PCMHT
1600 BROAD AVE
GULFPORT, MS 39501-3603
Phone number: 228-863-1132
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Mailing Address
C DIANE M ALLGOOD MSW, PCMHT
1600 BROAD AVE
GULFPORT, MS 39501-3603
Phone number: 228-863-1132
Copy
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