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1972930600
WANDA LACY
JACKSON, MS
NPI
1972930600
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MS 1788)
Enumeration Date
2013-09-26
Last Update Date
2013-09-26
Business Address
-- WANDA LACY
3450 HIGHWAY 80 W
JACKSON, MS 39209-7201
Phone number: 601-321-2497
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Mailing Address
-- WANDA LACY
3450 HIGHWAY 80 W
JACKSON, MS 39209-7201
Phone number: 601-321-2497
Copy
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