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1871016600
KYLE BIRDWELL
HATTIESBURG, MS
NPI
1871016600
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MS C8215)
Enumeration Date
2017-07-24
Last Update Date
2020-11-06
Business Address
KYLE BIRDWELL LCSW
110 PATTON AVE
HATTIESBURG, MS 39401-6155
Phone number: 601-582-1111
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Mailing Address
KYLE BIRDWELL LCSW
104 BEVERLY DR
PETAL, MS 39465-3702
Phone number: 601-319-2742
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