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1629843453
BOSTON BAILEY
HATTIESBURG, MS
NPI
1629843453
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: MS 4000)
Enumeration Date
2023-11-21
Last Update Date
2023-11-21
Business Address
BOSTON BAILEY PCCSS
103 S 19TH AVE
HATTIESBURG, MS 39401-6171
Phone number: 601-544-4641
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Mailing Address
BOSTON BAILEY PCCSS
PO BOX 18679
HATTIESBURG, MS 39404-8679
Phone number: 601-705-1901
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