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1295234334
STEPHANIE CLANTON
JACKSON, MS
NPI
1295234334
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2018-02-05
Last Update Date
2018-02-05
Business Address
STEPHANIE CLANTON CAT
3450 HIGHWAY 80 W
JACKSON, MS 39209-7201
Phone number: 601-321-2497
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Mailing Address
STEPHANIE CLANTON CAT
3450 HIGHWAY 80 W
JACKSON, MS 39209-7201
Phone number: 601-321-2497
Copy
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