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Individual

MR. TIMOTHY ANDREW NEYLAND SR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMSW

Contact information

Practice address
1500 E WOODROW WILSON AVE, JACKSON, MS 39216-5116
(601) 362-4471
Mailing address
6550 LYNDON B JOHNSON DR, JACKSON, MS 39213-2925
(601) 362-4471

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M511
MS

Other

Enumeration date
09/21/2006
Last updated
07/08/2007
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