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Individual

MR. RANCE SCOTT RATCLIFF JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
5192 HIGHWAY 11 N, ELLISVILLE, MS 39437-5050
(601) 649-7921
(601) 584-4053
Mailing address
PO BOX 113, LAUREL, MS 39441-0113
(601) 649-7921
(601) 584-4053

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
C0220
MS

Other

Enumeration date
08/03/2006
Last updated
07/08/2007
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