EDIE NICHOLSON

ELLISVILLE, MS
NPI1295507879
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
(Licence: MS  6059)
Enumeration Date2023-10-26
Last Update Date2023-10-26
Business Address
EDIE NICHOLSON PCMHT
5192 HIGHWAY 11 N
ELLISVILLE, MS 39437-5050
Phone number: 601-649-7921
Mailing Address
EDIE NICHOLSON PCMHT
PO BOX 18679
HATTIESBURG, MS 39404-8679
Phone number: 601-705-1901
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