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Individual

BRENDA WIMBERLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC, NCC

Contact information

Practice address
1209 IVY RD UNIT 106, OXFORD, MS 38655-2886
(662) 832-0661
Mailing address
1209 IVY RD UNIT 106, OXFORD, MS 38655-2886
(662) 832-0661

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2088
MS

Other

Enumeration date
04/27/2016
Last updated
04/27/2016
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