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MRS. STACI ALYS WAITES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.ED.

Contact information

Practice address
152 HIGHWAY 7 S, OXFORD, MS 38655-5392
(662) 234-7521
Mailing address
5617 COUNTY ROAD 118, WATER VALLEY, MS 38965-4232
(662) 230-1843

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
09/18/2012
Last updated
02/10/2016
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