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1578833521
KELLY LOGAN STAFFORD
RIDGELAND, MS
NPI
1578833521
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MS 1320)
Enumeration Date
2012-01-09
Last Update Date
2012-01-09
Business Address
Mrs. KELLY LOGAN STAFFORD LPC
357 TOWNE CENTER PL SUITE 402
RIDGELAND, MS 39157-4870
Phone number: 601-573-7908
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Mailing Address
Mrs. KELLY LOGAN STAFFORD LPC
PO BOX 2582
MADISON, MS 39130-2582
Phone number: 601-573-7908
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