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1194903062
KRISTIE AINSWORTH
JACKSON, MS
NPI
1194903062
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: MS T0218)
Enumeration Date
2008-02-04
Last Update Date
2024-10-13
Business Address
KRISTIE AINSWORTH
1225 N STATE ST
JACKSON, MS 39202-2064
Phone number: 601-968-1362
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Mailing Address
KRISTIE AINSWORTH
PO BOX 23090
JACKSON, MS 39225-3090
Phone number: 601-973-1697
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