RAYMOND WOOTEN

HATTIESBURG, MS
NPI1780101105
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
(Licence: MS  3382)
Enumeration Date2017-08-25
Last Update Date2017-08-25
Business Address
RAYMOND WOOTEN CMHT
103 S 19TH AVE
HATTIESBURG, MS 39401-6171
Phone number: 601-544-4641
Mailing Address
RAYMOND WOOTEN CMHT
PO BOX 18679
HATTIESBURG, MS 39404-8679
Phone number:
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