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Individual

MARY L BOZEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CMHT

Contact information

Practice address
3444 WISCONSIN AVE, VICKSBURG, MS 39180-5331
(601) 638-0031
Mailing address
11220 ROAD 723, UNION, MS 39365-3456
(662) 549-0140

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CH5469
MS
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
06/25/2009
Last updated
06/05/2024
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