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1811165152
QUALON L. MARTIN
VICKSBURG, MS
NPI
1811165152
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2008-02-20
Last Update Date
2008-02-20
Business Address
QUALON L. MARTIN
WARREN-YAZOO MENTAL HEALTH SERVICE 4333 WISCONSIN AVE.
VICKSBURG, MS 39180-2067
Phone number: 601-638-0031
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Mailing Address
QUALON L. MARTIN
WARREN-YAZOO MENTAL HEALTH SERVICE 4333 WISCONSIN AVE.
VICKSBURG, MS 39180-2067
Phone number: 601-638-0031
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