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1922012012
JAMES W FENDALSON
GULFPORT, MS
NPI
1922012012
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2006-07-27
Last Update Date
2007-07-08
Business Address
MR. JAMES W FENDALSON M.DIV,CPT,L.C.M.H.T.
1600 BROAD AVE
GULFPORT, MS 39501-3603
Phone number: 228-863-1132
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Mailing Address
MR. JAMES W FENDALSON M.DIV,CPT,L.C.M.H.T.
1600 BROAD AVE
GULFPORT, MS 39501-3603
Phone number: 228-863-1132
Copy
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