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1750577805
LIVE OAK PSYCHOLOGICAL ASSOCITAES
JACKSON, MS
NPI
1750577805
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Entity Type
Organization
Authorized Contact
LISA HALDERMAN DIETH
Office Manager
601-352-7398
Organization Subpart ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
Enumeration Date
2007-09-22
Last Update Date
2007-09-22
Business Address
LIVE OAK PSYCHOLOGICAL ASSOCITAES
1151 N STATE ST STE 212
JACKSON, MS 39202-2407
Phone number: 601-352-7398
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Mailing Address
LIVE OAK PSYCHOLOGICAL ASSOCITAES
1151 N STATE ST STE 212
JACKSON, MS 39202-2407
Phone number: 601-352-7398
Copy
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