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1891240818
JACKIE BODDY
JACKSON, MS
NPI
1891240818
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-08-19
Last Update Date
2016-08-19
Business Address
-- JACKIE BODDY
460 BRIARWOOD DR SUITE 510
JACKSON, MS 39206-3051
Phone number: 601-956-4816
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Mailing Address
-- JACKIE BODDY
PO BOX 13509
JACKSON, MS 39236-3509
Phone number: 601-956-4816
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