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1740660042
TESHA DECANTER
TUPELO, MS
NPI
1740660042
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2015-06-02
Last Update Date
2015-06-02
Business Address
-- TESHA DECANTER BS
2434 S EASON BLVD
TUPELO, MS 38804-6942
Phone number: 662-528-4349
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Mailing Address
-- TESHA DECANTER BS
2434 S EASON BLVD
TUPELO, MS 38804-6942
Phone number: 662-528-4349
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