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1518974104
CALVIN AUTHEMENT
HATTIESBURG, MS
NPI
1518974104
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: MS 0467)
Enumeration Date
2006-08-03
Last Update Date
2007-07-08
Business Address
Mr. CALVIN AUTHEMENT LPC
103 S 19TH AVE
HATTIESBURG, MS 39401-6171
Phone number: 601-544-4641
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Mailing Address
Mr. CALVIN AUTHEMENT LPC
PO BOX 1030
HATTIESBURG, MS 39403-1030
Phone number: 601-544-4641
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