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1841513728
PORTIA FOUCHE' MARTIN
VICKSBURG, MS
NPI
1841513728
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Additional Taxonomies
104100000X Social Worker
(Licence: MS W7785)
Enumeration Date
2010-03-08
Last Update Date
2020-08-26
Business Address
PORTIA FOUCHE' MARTIN
3444 WISCONSIN AVE
VICKSBURG, MS 39180-5331
Phone number: 601-638-0031
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Mailing Address
PORTIA FOUCHE' MARTIN
3444 WISCONSIN AVE
VICKSBURG, MS 39180-5331
Phone number:
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