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1265156533
MARILYN SMITH
ELLISVILLE, MS
NPI
1265156533
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: MS 588)
Enumeration Date
2022-09-30
Last Update Date
2022-09-30
Business Address
MARILYN SMITH CIDDT
5192 HIGHWAY 11 N
ELLISVILLE, MS 39437-5050
Phone number: 601-425-3439
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Mailing Address
MARILYN SMITH CIDDT
PO BOX 18679
HATTIESBURG, MS 39404-8679
Phone number: 601-705-1901
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