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1477831675
DAVID S. TADLOCK
GAUTIER, MS
NPI
1477831675
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2011-07-22
Last Update Date
2011-07-22
Business Address
MR. DAVID S. TADLOCK M.A. EDUCATION; B.S.
3407 SHAMROCK CT
GAUTIER, MS 39553-6429
Phone number: 228-497-0690
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Mailing Address
MR. DAVID S. TADLOCK M.A. EDUCATION; B.S.
3407 SHAMROCK CT
GAUTIER, MS 39553-6429
Phone number: 228-497-0690
Copy
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