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Organization

CHILD ABUSE EDUCATION COUNCIL OF PEARL RIVER COUNTY, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DELORIS H. TATOM (ADMINISTRATIVE ASSISTANT)
(601) 799-5886
Entity
Organization

Contact information

Practice address
120 STREET A, SUITE C, PICAYUNE, MS 39466-5466
(601) 799-5886
Mailing address
PO BOX 1789, PICAYUNE, MS 39466-1789
(601) 799-5886

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09015605
MS
Enumeration date
08/03/2006
Last updated
11/21/2012
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