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1669576195
QUANASHETIA MCKINNEY IVY
TUPELO, MS
NPI
1669576195
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2006-09-13
Last Update Date
2007-07-08
Business Address
Mrs. QUANASHETIA MCKINNEY IVY BSW
2434 S EASON BLVD
TUPELO, MS 38804-6942
Phone number: 662-844-1717
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Mailing Address
Mrs. QUANASHETIA MCKINNEY IVY BSW
PO BOX 613
HOUSTON, MS 38851-0613
Phone number: 662-456-4080
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