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1528590957
TANYA LARRY
JACKSON, MS
NPI
1528590957
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: MS T0442)
Enumeration Date
2017-04-03
Last Update Date
2017-04-03
Business Address
-- TANYA LARRY LMFT
2627 RIDGEWOOD RD STE 103
JACKSON, MS 39216-4904
Phone number: 601-942-1884
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Mailing Address
-- TANYA LARRY LMFT
252 CALLAWAY CIR
BYRAM, MS 39272-4521
Phone number: 601-942-1884
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