Individual
MRS. SYLVIA D TISDALE-MCINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1717 W JACKSON ST, TUPELO, MS 38801-3124
(662) 680-4870
(662) 680-4871
Mailing address
1717 W JACKSON ST, TUPELO, MS 38801-3124
(662) 680-4870
(662) 680-4871
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/04/2011
Last updated
05/04/2011
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