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Organization
VETERANS HEALTH ADMINSTRATION
Active
Organization
VETERANS HEALTH ADMINSTRATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENDRICK DENARD BAILEY LPC-S, NCC (LICENSED PROFESSIONAL COUNSELOR)
(662) 907-0040
Entity
Organization
Contact information
Practice address
947 CLUBHOUSE DR, PEARL, MS 39208-9528
(662) 907-0040
Mailing address
947 CLUBHOUSE DR, PEARL, MS 39208-9528
(662) 907-0040
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
1512
MS
Other
Enumeration date
02/19/2015
Last updated
02/19/2015
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