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Individual

PERSEPHONE ROSHALL LOWE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC, NCC

Contact information

Practice address
9851 HIGHWAY 178 STE A, OLIVE BRANCH, MS 38654-3214
(662) 299-4061
(662) 874-6809
Mailing address
9851 HIGHWAY 178 STE A, OLIVE BRANCH, MS 38654-3214
(662) 299-4061
(662) 874-6809

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1717
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
822571852
MS
Enumeration date
09/12/2013
Last updated
06/29/2020
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