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1245616556
CHRISITAN WARE
JACKSON, MS
NPI
1245616556
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MS 1382)
Enumeration Date
2015-08-10
Last Update Date
2015-08-10
Business Address
Mr. CHRISITAN WARE
1465 LAKELAND DR
JACKSON, MS 39216-4719
Phone number: 601-352-7784
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Mailing Address
Mr. CHRISITAN WARE
1465 LAKELAND DR
JACKSON, MS 39216-4719
Phone number: 601-352-7784
Copy
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