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1730311457
ALICE L NELSON
HATTIESBURG, MS
NPI
1730311457
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: MS 0784)
Enumeration Date
2009-08-13
Last Update Date
2009-08-13
Business Address
-- ALICE L NELSON CMHT
410 HACIENDA AVE
HATTIESBURG, MS 39402-1828
Phone number: 601-705-1901
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Mailing Address
-- ALICE L NELSON CMHT
410 HACIENDA AVE
HATTIESBURG, MS 39402-1828
Phone number: 601-705-1901
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