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1225442239
TABATHA ENIS
PONTOTOC, MS
NPI
1225442239
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MS C2858)
Enumeration Date
2014-06-17
Last Update Date
2014-06-17
Business Address
Mrs. TABATHA ENIS LCSW
399 OLD HIGHWAY 15 N
PONTOTOC, MS 38863-1111
Phone number: 662-760-2405
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Mailing Address
Mrs. TABATHA ENIS LCSW
399 OLD HIGHWAY 15 N
PONTOTOC, MS 38863-1111
Phone number: 662-760-2405
Copy
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