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1598997231
REBECCA A FORD
HATTIESBURG, MS
NPI
1598997231
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MS 0056)
Enumeration Date
2009-08-13
Last Update Date
2009-08-13
Business Address
-- REBECCA A FORD PCAC
49 MADDEN RD
HATTIESBURG, MS 39402-8648
Phone number: 601-705-1901
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Mailing Address
-- REBECCA A FORD PCAC
49 MADDEN RD
HATTIESBURG, MS 39402-8648
Phone number: 601-705-1901
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