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1912084286
MIDSOUTH BEHAVIORAL HEALTH, PLLC
OLIVE BRANCH, MS
NPI
1912084286
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Entity Type
Organization
Authorized Contact
MERRY NICHOLS
Accts. Manager
662-895-1707
Organization Subpart ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
Enumeration Date
2006-11-01
Last Update Date
2020-08-22
Business Address
MIDSOUTH BEHAVIORAL HEALTH, PLLC
6810 CRUMPLER BLVD SUITE 302
OLIVE BRANCH, MS 38654-1933
Phone number: 662-895-1707
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Mailing Address
MIDSOUTH BEHAVIORAL HEALTH, PLLC
PO BOX 579
OLIVE BRANCH, MS 38654-0579
Phone number: 662-895-1707
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