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1932559317
MARY BETH VANDIVER
TUPELO, MS
NPI
1932559317
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-06-16
Last Update Date
2016-06-16
Business Address
-- MARY BETH VANDIVER
2434 S EASON BLVD
TUPELO, MS 38804-6942
Phone number: 662-640-4595
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Mailing Address
-- MARY BETH VANDIVER
338 RANCHLAND RD
BELDEN, MS 38826-9370
Phone number: 205-399-1754
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