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1740800432
JUSTIN WASHINGTON
TUPELO, MS
NPI
1740800432
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MS 2939)
Enumeration Date
2020-04-22
Last Update Date
2024-11-27
Business Address
JUSTIN WASHINGTON
2434 S EASON BLVD
TUPELO, MS 38804-6942
Phone number: 662-640-4595
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Mailing Address
JUSTIN WASHINGTON
2434 S EASON BLVD
TUPELO, MS 38804-6942
Phone number: 662-640-4595
Copy
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