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1871920108
KIMMIE DYER BENEFIELD
TUPELO, MS
NPI
1871920108
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2013-10-01
Last Update Date
2013-10-01
Business Address
-- KIMMIE DYER BENEFIELD
920 BOONE ST
TUPELO, MS 38804-5908
Phone number: 662-844-3531
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Mailing Address
-- KIMMIE DYER BENEFIELD
920 BOONE ST
TUPELO, MS 38804-5908
Phone number: 662-844-3531
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