Individual
MR. BRETT TYLER DILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.S.W.
Contact information
Practice address
39 LAFAYETTE ST, PONTOTOC, MS 38863-2837
(662) 509-6759
(662) 509-6761
Mailing address
39 LAFAYETTE ST, PONTOTOC, MS 38863-2837
(662) 509-9300
(662) 509-6698
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/07/2010
Last updated
06/07/2010
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