Individual
WILMA DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
466 OLD WHITFIELD RD, PEARL, MS 39208-9148
(601) 613-1707
Mailing address
613 MARQUETTE RD, BRANDON, MS 39042-3038
(601) 825-8800
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
03/19/2021
Last updated
03/19/2021
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