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1720702285
LISA CLARY
HATTIESBURG, MS
NPI
1720702285
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
(Licence: MS 0634)
Enumeration Date
2022-09-28
Last Update Date
2022-09-28
Business Address
LISA CLARY CPSS
103 S 19TH AVE
HATTIESBURG, MS 39401-6171
Phone number: 601-544-4641
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Mailing Address
LISA CLARY CPSS
PO BOX 18679
HATTIESBURG, MS 39404-8679
Phone number: 601-705-1901
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