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1457634446
DONNA RENEE AYCOCK
HERNANDO, MS
NPI
1457634446
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2011-09-26
Last Update Date
2011-09-26
Business Address
DONNA RENEE AYCOCK
2705 HIGHWAY 51 S
HERNANDO, MS 38632-2634
Phone number: 662-449-1971
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Mailing Address
DONNA RENEE AYCOCK
PO BOX 839
CORINTH, MS 38835-0839
Phone number: 662-286-9883
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