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Individual

MISS DAWN RENEE SIAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
215 W FRONT ST, GREENWOOD, MS 38930-4400
(662) 299-0342
(601) 767-3400
Mailing address
PO BOX 342, GREENWOOD, MS 38935-0342
(601) 383-2920
(601) 767-3400

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1355
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64-0535588
MS
Enumeration date
02/11/2009
Last updated
12/27/2022
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