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1336339498
JERRY DEAN WORSHAM
OXFORD, MS
NPI
1336339498
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MS 795)
Enumeration Date
2007-07-25
Last Update Date
2007-07-25
Business Address
-- JERRY DEAN WORSHAM LPC
510 AZALEA DR
OXFORD, MS 38655-8114
Phone number: 662-513-3411
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Mailing Address
-- JERRY DEAN WORSHAM LPC
510 AZALEA DR
OXFORD, MS 38655-8114
Phone number: 662-513-3411
Copy
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