Individual
BYRON DUKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CIDDT
Contact information
Practice address
41 BONHOMIE RD, HATTIESBURG, MS 39401-8648
(601) 450-0431
Mailing address
PO BOX 18679, HATTIESBURG, MS 39404-8679
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
531
MS
Other
Enumeration date
07/21/2017
Last updated
07/21/2017
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