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1285209692
LACY LYN LUPER
BRANDON, MS
NPI
1285209692
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2021-05-26
Last Update Date
2021-05-26
Business Address
MS. LACY LYN LUPER
613 MARQUETTE RD
BRANDON, MS 39042-3038
Phone number: 601-824-1692
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Mailing Address
MS. LACY LYN LUPER
PO BOX 88
BRANDON, MS 39043-0088
Phone number: 601-824-1692
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