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1194351239
CALYSSA NICOLE MIDDLETON
COLUMBUS, MS
NPI
1194351239
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2020-03-20
Last Update Date
2020-03-20
Business Address
CALYSSA NICOLE MIDDLETON NCC
2623 5TH ST N
COLUMBUS, MS 39705-2009
Phone number: 662-241-7097
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Mailing Address
CALYSSA NICOLE MIDDLETON NCC
860 E RIVER PL STE 100
JACKSON, MS 39202-3442
Phone number:
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