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1497891121
VIVIAN TARVIN SHIELDS
JACKSON, MS
NPI
1497891121
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MS C0269)
Enumeration Date
2007-01-29
Last Update Date
2007-07-08
Business Address
Ms. VIVIAN TARVIN SHIELDS LCSW
263 FOREST VALLEY DR
JACKSON, MS 39212-3800
Phone number: 601-371-8937
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Mailing Address
Ms. VIVIAN TARVIN SHIELDS LCSW
263 FOREST VALLEY DRIVE
JACKSON, MS 39212
Phone number: 601-371-8937
Copy
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