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Individual

PAUL MARTY FORSYTHE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2705 HIGHWAY 51 S, HERNANDO, MS 38632-2634
(662) 449-1971
(662) 449-1974
Mailing address
PO BOX 839, CORINTH, MS 38835-0839
(662) 286-9883
(662) 284-9836

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
06/20/2013
Last updated
06/20/2013
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