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1801148135
SHANTA B LAWRENCE HOLMES
STARKVILLE, MS
NPI
1801148135
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2012-10-10
Last Update Date
2012-10-11
Business Address
SHANTA B LAWRENCE HOLMES MS
302 N JACKSON ST
STARKVILLE, MS 39759-2504
Phone number: 662-323-9318
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Mailing Address
SHANTA B LAWRENCE HOLMES MS
1032 STATE HWY 50 W
WEST POINT, MS 39773-1336
Phone number: 662-524-4347
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