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Individual

LAUREN BAILLIE GRAVES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
1500 E WOODROW WILSON AVE, JACKSON, MS 39216-5116
(601) 364-7881
Mailing address
1500 E WOODROW WILSON AVE, JACKSON, MS 39216-5116

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1776
AL

Other

Enumeration date
12/06/2012
Last updated
09/02/2020
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