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1962023812
KANDACE ROSS
JACKSON, MS
NPI
1962023812
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Former Name
KANDACE SHUNIKA SHAVERS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MS 2581)
Enumeration Date
2020-05-01
Last Update Date
2020-05-01
Business Address
KANDACE ROSS LPC
528 WOODBURY RD
JACKSON, MS 39206-4830
Phone number: 601-278-7137
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Mailing Address
KANDACE ROSS LPC
528 WOODBURY RD
JACKSON, MS 39206-4830
Phone number: 601-278-7137
Copy
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