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1992228548
TABITHA WALLS
LAUREL, MS
NPI
1992228548
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: MS 2994)
Enumeration Date
2017-07-25
Last Update Date
2017-07-25
Business Address
TABITHA WALLS CMHT
1721 W 10TH ST
LAUREL, MS 39440-2540
Phone number: 601-425-9322
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Mailing Address
TABITHA WALLS CMHT
PO BOX 18679
HATTIESBURG, MS 39404-8679
Phone number:
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