KIRBY RENAE POUGH

MERIDIAN, MS
NPI1902398290
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-06-01
Last Update Date2018-06-01
Business Address
KIRBY RENAE POUGH LSW, MSACE
2419 10TH ST
MERIDIAN, MS 39301-5040
Phone number: 601-282-1600
Mailing Address
KIRBY RENAE POUGH LSW, MSACE
2419 10TH ST
MERIDIAN, MS 39301-5040
Phone number: 601-282-1600
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