ERIC SUDDEATH

OXFORD, MS
NPI1700302007
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
(Licence: MS  2201)
Enumeration Date2017-08-17
Last Update Date2017-08-17
Business Address
-- ERIC SUDDEATH MA, LPC
304 ENTERPRISE DR
OXFORD, MS 38655-2762
Phone number: 662-371-1711
Mailing Address
-- ERIC SUDDEATH MA, LPC
4005 DAVIS DR
OXFORD, MS 38655-4279
Phone number: 901-607-3705