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1235293762
REBECCA BANAHAN AVERY
OXFORD, MS
NPI
1235293762
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: MS C8314)
Enumeration Date
2006-12-20
Last Update Date
2016-02-01
Business Address
REBECCA BANAHAN AVERY LCSW
428 N LAMAR BLVD STE 113
OXFORD, MS 38655-3221
Phone number: 662-234-4876
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Mailing Address
REBECCA BANAHAN AVERY LCSW
428 N LAMAR BLVD STE 113
OXFORD, MS 38655-3221
Phone number: 662-234-4876
Copy
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