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1245310309
J SUSAN HAIK
JACKSON, MS
NPI
1245310309
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MS 97-027M)
Enumeration Date
2006-10-16
Last Update Date
2007-07-08
Business Address
-- J SUSAN HAIK CCAP
1500 E WOODROW WILSON AVE
JACKSON, MS 39216-5116
Phone number: 601-362-4471
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Mailing Address
-- J SUSAN HAIK CCAP
1500 E WOODROW WILSON AVE
JACKSON, MS 39216-5116
Phone number: 601-362-4471
Copy
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