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1336275064
DESLIE BONANO, LCSW, BCD
PICAYUNE, MS
NPI
1336275064
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Entity Type
Organization
Authorized Contact
DESLIE BONANO
Lcsw
601-749-9477
Organization Subpart ?
No
Primary Taxonomy
251S00000X Community/Behavioral Health
(Licence: MS C6126)
Enumeration Date
2007-02-26
Last Update Date
2020-08-22
Business Address
DESLIE BONANO, LCSW, BCD
703 W CANAL ST
PICAYUNE, MS 39466-3918
Phone number: 601-749-9477
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Mailing Address
DESLIE BONANO, LCSW, BCD
703 W CANAL ST
PICAYUNE, MS 39466-3918
Phone number:
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