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1407453376
BRIAN WEBER
GULFPORT, MS
NPI
1407453376
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: MS 5105)
Enumeration Date
2020-10-05
Last Update Date
2020-10-05
Business Address
BRIAN WEBER CMHT
1600 BROAD AVE
GULFPORT, MS 39501-3603
Phone number: 288-631-1322
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Mailing Address
BRIAN WEBER CMHT
PO BOX 6705
GULFPORT, MS 39506-6705
Phone number: 288-651-3302
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