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1326142969
JANICE LEE WALLER
PONTOTOC, MS
NPI
1326142969
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2006-09-12
Last Update Date
2007-07-08
Business Address
Mrs. JANICE LEE WALLER Med, CMHT
339 LEGION LN
PONTOTOC, MS 38863-8978
Phone number: 662-509-9300
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Mailing Address
Mrs. JANICE LEE WALLER Med, CMHT
69 COUNTY ROAD 311
OXFORD, MS 38655-8533
Phone number:
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