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1871848952
CHARLES S. SMALL
GREENWOOD, MS
NPI
1871848952
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist Clinical
(Licence: MS 8110)
Enumeration Date
2012-07-16
Last Update Date
2012-07-16
Business Address
CHARLES S. SMALL PH.D.
2504 BROWNING ROAD 520
GREENWOOD, MS 38930-6022
Phone number: 662-453-6211
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Mailing Address
CHARLES S. SMALL PH.D.
2504 BROWNING ROAD 520
GREENWOOD, MS 38930-6022
Phone number: 662-453-6211
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