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1366939100
TISHOUNNA KNOX SULTON
BYRAM, MS
NPI
1366939100
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MS C6449)
Enumeration Date
2018-04-17
Last Update Date
2018-04-17
Business Address
Mrs. TISHOUNNA KNOX SULTON LCSW
2260 MEAGAN DR
BYRAM, MS 39272-5676
Phone number: 769-216-0815
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Mailing Address
Mrs. TISHOUNNA KNOX SULTON LCSW
2260 MEAGAN DR
BYRAM, MS 39272-5676
Phone number: 769-216-0815
Copy
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