C DIANE M ALLGOOD

GULFPORT, MS
NPI1154885614
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: MS  ch3255)
Enumeration Date2019-01-29
Last Update Date2019-01-29
Business Address
C DIANE M ALLGOOD MSW, PCMHT
1600 BROAD AVE
GULFPORT, MS 39501-3603
Phone number: 228-863-1132
Mailing Address
C DIANE M ALLGOOD MSW, PCMHT
1600 BROAD AVE
GULFPORT, MS 39501-3603
Phone number: 228-863-1132
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