Individual
EDWARD DILLON SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
225 E MINNESOTA ST, BROOKHAVEN, MS 39601-3833
(601) 754-7106
Mailing address
225 E MINNESOTA ST, BROOKHAVEN, MS 39601-3833
(601) 754-7106
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
ED716381D
MS
Other
Enumeration date
01/28/2020
Last updated
01/28/2020
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