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1194742296
VICKI L REVELL-SMITH
GULFPORT, MS
NPI
1194742296
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MS 723)
Enumeration Date
2006-07-16
Last Update Date
2007-07-08
Business Address
Mrs. VICKI L REVELL-SMITH ms,lpc
1600 BROAD AVE
GULFPORT, MS 39501-3603
Phone number: 228-863-1132
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Mailing Address
Mrs. VICKI L REVELL-SMITH ms,lpc
1600 BROAD AVE
GULFPORT, MS 39501-3603
Phone number: 228-863-1132
Copy
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