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1194051888
GLENDA ELAINE BLACK
GAUTIER, MS
NPI
1194051888
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2009-10-30
Last Update Date
2009-10-30
Business Address
Ms. GLENDA ELAINE BLACK M.A.
3407 SHAMROCK CT
GAUTIER, MS 39553-6429
Phone number: 228-497-0690
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Mailing Address
Ms. GLENDA ELAINE BLACK M.A.
3407 SHAMROCK CT
GAUTIER, MS 39553-6429
Phone number: 228-497-0690
Copy
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