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Organization
EYES OF THE HEART MINISTRIES
Active
Organization
EYES OF THE HEART MINISTRIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILIP PREWETTE M.A. (ASST. DIRECTOR)
(601) 924-5433
Entity
Organization
Contact information
Practice address
402 MONROE ST, CLINTON, MS 39056-4210
(601) 924-5433
Mailing address
402 MONROE ST, CLINTON, MS 39056-4210
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
1113
MS
106H00000X
Marriage & Family Therapist
T0243
MS
106H00000X
Marriage & Family Therapist
Primary
T0389
MS
Other
Enumeration date
03/04/2010
Last updated
03/04/2010
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