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1336521970
DEIDERE HOLLINS
JACKSON, MS
NPI
1336521970
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MS 1628)
Enumeration Date
2015-06-19
Last Update Date
2018-07-11
Business Address
DEIDERE HOLLINS LPC-S
3450 HIGHWAY 80 W
JACKSON, MS 39209-7201
Phone number: 601-321-2400
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Mailing Address
DEIDERE HOLLINS LPC-S
109 MAGNOLIA WAY
PEARL, MS 39208-3366
Phone number: 601-573-9849
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