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1194001040
FAITH DOLORES TATUM
TUPELO, MS
NPI
1194001040
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2011-10-24
Last Update Date
2016-04-07
Business Address
-- FAITH DOLORES TATUM
2434 S EASON BLVD
TUPELO, MS 38804-6942
Phone number: 662-640-4595
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Mailing Address
-- FAITH DOLORES TATUM
56 VILLAGE LOOP
STARKVILLE, MS 39759-1635
Phone number: 662-769-6800
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