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1760523567
DAPHNE FORTNER
MERIDIAN, MS
NPI
1760523567
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Former Name
DAPHNE AMANDA JONES
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-02-12
Last Update Date
2024-10-31
Business Address
-- DAPHNE FORTNER
1415 COLLEGE DRIVE
MERIDIAN, MS 39307-5345
Phone number: 601-483-4821
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Mailing Address
-- DAPHNE FORTNER
P.O. BOX 2868
MERIDIAN, MS 39302-2801
Phone number: 601-483-4821
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