AUDWIN SPROUSE

WALLS, MS
NPI1801492426
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2020-12-09
Last Update Date2020-12-09
Business Address
AUDWIN SPROUSE
8900 DELTA BLUFF CV
WALLS, MS 38680-4400
Phone number: 662-510-4660
Mailing Address
AUDWIN SPROUSE
8900 DELTA BLUFF CV
WALLS, MS 38680-4400
Phone number: 662-510-4660
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