Individual
ALAN TYJUAN HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.A.
Contact information
Practice address
252 S VETERANS BLVD, TUPELO, MS 38804-5022
(662) 840-3008
(662) 841-0337
Mailing address
1319 4TH ST S, COLUMBUS, MS 39701-7349
(662) 574-7532
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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