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1831800663
LANIQUE ERVIN
SOUTHAVEN, MS
NPI
1831800663
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-12-13
Last Update Date
2022-12-13
Business Address
LANIQUE ERVIN P-LPC
230 GOODMAN RD E STE 204
SOUTHAVEN, MS 38671-8313
Phone number: 662-985-1844
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Mailing Address
LANIQUE ERVIN P-LPC
230 GOODMAN RD E STE 204
SOUTHAVEN, MS 38671-8313
Phone number: 662-985-1844
Copy
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