RICHARD SHERIDAN

HATTIESBURG, MS
NPI1790414001
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: MS  1555)
Enumeration Date2022-06-10
Last Update Date2022-06-10
Business Address
RICHARD SHERIDAN
615 W PINE ST
HATTIESBURG, MS 39401-3835
Phone number: 601-336-9131
Mailing Address
RICHARD SHERIDAN
2 DOGWOOD CIR
PETAL, MS 39465-4142
Phone number:
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