ROOSEVELT BASKIN

MERIDIAN, MS
NPI1427391622
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2013-04-05
Last Update Date2013-04-05
Business Address
-- ROOSEVELT BASKIN
1415 COLLEGE DR
MERIDIAN, MS 39307-5345
Phone number: 601-483-4821
Mailing Address
-- ROOSEVELT BASKIN
1415 COLLEGE DR
MERIDIAN, MS 39307-5345
Phone number: 601-483-4821
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