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1740494434
ROSCOE LORMER DOUGLAS
MERIDIAN, MS
NPI
1740494434
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: MS 10 139)
Enumeration Date
2007-05-10
Last Update Date
2007-07-08
Business Address
-- ROSCOE LORMER DOUGLAS Ph.D.
1207 WHITE OAK DR
MERIDIAN, MS 39305-1902
Phone number: 601-483-8370
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Mailing Address
-- ROSCOE LORMER DOUGLAS Ph.D.
1207 WHITE OAK DR
MERIDIAN, MS 39305-1902
Phone number: 601-493-9370
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