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1194949602
ELLEN M SUNDBERG
HATTIESBURG, MS
NPI
1194949602
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: MS 34 560)
Enumeration Date
2007-04-13
Last Update Date
2008-11-26
Business Address
Dr. ELLEN M SUNDBERG Ph.D.
312 S 25TH AVE
HATTIESBURG, MS 39401-7301
Phone number: 601-296-1295
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Mailing Address
Dr. ELLEN M SUNDBERG Ph.D.
PO BOX 17743
HATTIESBURG, MS 39404-7743
Phone number: 601-296-1295
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