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Individual

DR. ROBIKA MODAK MYLROIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD, LPC, CCTP, NCC

Contact information

Practice address
1000 HIGHLAND COLONY PKWY STE 7203, RIDGELAND, MS 39157-2073
(056) 060-1715
Mailing address
103 SUNFLOWER RD, MADISON, MS 39110-7878
(662) 694-0247

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1636
MS
101YS0200X
School Counselor

Other

Enumeration date
03/21/2023
Last updated
03/21/2023
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