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1821859554
MELANIE JORDAN WALL
RIDGELAND, MS
NPI
1821859554
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: MS 23-273581)
Enumeration Date
2024-01-19
Last Update Date
2024-01-19
Business Address
MELANIE JORDAN WALL
402B LEGACY PARK DR
RIDGELAND, MS 39157-4315
Phone number: 769-233-7154
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Mailing Address
MELANIE JORDAN WALL
402 LEGACY PARK DR
RIDGELAND, MS 39157
Phone number: 769-233-7154
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