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1366190423
TABAN SALEM
RIDGELAND, MS
NPI
1366190423
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: MS 611103)
Enumeration Date
2022-03-16
Last Update Date
2024-11-19
Business Address
TABAN SALEM Ph.D.
241 SUNNYBROOK RD
RIDGELAND, MS 39157-2206
Phone number: 769-231-9414
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Mailing Address
TABAN SALEM Ph.D.
3912 GREAVES ST
JACKSON, MS 39206-5711
Phone number: 636-544-4472
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