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1528782265
FLORESTINE KEATON
HATTIESBURG, MS
NPI
1528782265
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MS 3548)
Enumeration Date
2022-09-27
Last Update Date
2022-09-27
Business Address
FLORESTINE KEATON PCCSS
103 S 19TH AVE
HATTIESBURG, MS 39401-6171
Phone number: 601-544-4641
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Mailing Address
FLORESTINE KEATON PCCSS
PO BOX 18679
HATTIESBURG, MS 39404-8679
Phone number: 601-705-1901
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