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1770716508
THOMAS PRUDE
JACKSON, MS
NPI
1770716508
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2009-08-27
Last Update Date
2019-09-20
Business Address
THOMAS PRUDE PCMHT
3450 HIGHWAY 80 W
JACKSON, MS 39209-7201
Phone number: 601-321-2400
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Mailing Address
THOMAS PRUDE PCMHT
3450 HIGHWAY 80 W
JACKSON, MS 39209-7201
Phone number: 601-321-2400
Copy
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