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1831321124
LINELL HENDERSON
HATTIESBURG, MS
NPI
1831321124
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: MS 0219)
Enumeration Date
2009-08-20
Last Update Date
2009-08-20
Business Address
-- LINELL HENDERSON CMHT
4100 MAMIE ST
HATTIESBURG, MS 39402-1735
Phone number: 601-705-1901
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Mailing Address
-- LINELL HENDERSON CMHT
4100 MAMIE ST
HATTIESBURG, MS 39402
Phone number: 601-705-1901
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