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1750638557
KIPP WILLIAM HEATHERLY
OXFORD, MS
NPI
1750638557
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MS C7948)
Enumeration Date
2012-08-10
Last Update Date
2016-03-03
Business Address
Mr. KIPP WILLIAM HEATHERLY LCSW
152 HIGHWAY 7 S
OXFORD, MS 38655-5392
Phone number: 662-234-7521
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Mailing Address
Mr. KIPP WILLIAM HEATHERLY LCSW
152 HIGHWAY 7 S
OXFORD, MS 38655-5392
Phone number: 662-234-7521
Copy
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