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1992384432
CODI LABRINA WALLACE
STARKVILLE, MS
NPI
1992384432
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: MS 2441)
Enumeration Date
2021-04-02
Last Update Date
2022-06-21
Business Address
CODI LABRINA WALLACE LPC
100 STARR AVE SUITE K
STARKVILLE, MS 39759
Phone number: 972-898-2394
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Mailing Address
CODI LABRINA WALLACE LPC
7863 SEER CREEK ROAD
STARKVILLE, MS 39759
Phone number: 972-898-2394
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