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1649566894
THE LIFE BALANCE CLINIC, BEHAVIORAL HEALTH SERVICE
VICKSBURG, MS
NPI
1649566894
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Entity Type
Organization
Authorized Contact
ANNETTE BRYANT
Owner
601-831-4402
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MS C6582)
Enumeration Date
2011-06-27
Last Update Date
2011-06-27
Business Address
THE LIFE BALANCE CLINIC, BEHAVIORAL HEALTH SERVICE
1107 B OPENWOOD ST.
VICKSBURG, MS 39183
Phone number: 601-831-4402
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Mailing Address
THE LIFE BALANCE CLINIC, BEHAVIORAL HEALTH SERVICE
113 WOODSTONE DR
VICKSBURG, MS 39183-8319
Phone number: 601-831-4402
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