CICELY C. TARAVELLA

JACKSON, MS
NPI1376894212
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: MS  52903)
Enumeration Date2012-10-01
Last Update Date2012-10-01
Business Address
-- CICELY C. TARAVELLA Ph.D.
1500 E WOODROW WILSON AVE TRP/MENTAL HEALTH (116A2)
JACKSON, MS 39216-5116
Phone number: 601-362-4471
Mailing Address
-- CICELY C. TARAVELLA Ph.D.
1500 E WOODROW WILSON AVE TRP/MENTAL HEALTH (116A2)
JACKSON, MS 39216-5116
Phone number: 601-362-4471
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