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Individual

MADALENE J BARKSDALE-MAYFIELD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3444 WISCONSIN AVE, VICKSBURG, MS 39180-5331
(601) 638-0031
Mailing address
3444 WISCONSIN AVE, VICKSBURG, MS 39180-5331
(601) 638-0031

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0018215
MS
Enumeration date
08/03/2017
Last updated
07/21/2022
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