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DENETRA QUINNETTE TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
1905A MISSION 66, VICKSBURG, MS 39180-3711
(601) 259-6566
Mailing address
1905A MISSION 66, VICKSBURG, MS 39180-3711
(601) 259-6566

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
T0272
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00018209
MS
Enumeration date
05/22/2007
Last updated
03/01/2021
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