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Individual

MRS. DENEASE INEZ BISHOP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC, LMFT

Contact information

Practice address
1855 LAKELAND DR, SUITE P101, JACKSON, MS 39216-4913
(601) 278-6790
Mailing address
1217 PINEVIEW DR, CLINTON, MS 39056-3539
(691) 278-6790

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
796
MS
106H00000X
Marriage & Family Therapist
T0243
MS

Other

Enumeration date
12/14/2010
Last updated
12/14/2010
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