SAMUEL GOODE

VICKSBURG, MS
NPI1699265322
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
Additional Taxonomies101YM0800X Counselor Mental Health
Enumeration Date2018-05-17
Last Update Date2018-06-16
Business Address
SAMUEL GOODE
3444 WISCONSIN AVE
VICKSBURG, MS 39180-5331
Phone number: 601-638-0031
Mailing Address
SAMUEL GOODE
3444 WISCONSIN AVE
VICKSBURG, MS 39180-5331
Phone number: 601-638-0031
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