PETER ANDERSON

VICKSBURG, MS
NPI1417335118
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2015-05-13
Last Update Date2015-05-13
Business Address
-- PETER ANDERSON
3444 WISCONSIN AVE
VICKSBURG, MS 39180-5331
Phone number: 601-638-0031
Mailing Address
-- PETER ANDERSON
3444 WISCONSIN AVE
VICKSBURG, MS 39180-5331
Phone number:
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