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Individual

DANIEL TUBBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CADC. CPSS

Contact information

Practice address
210 HOSPITAL CIR, CHOCTAW, MS 39350-6781
(601) 389-4156
(601) 389-4152
Mailing address
210 HOSPITAL CIR, CHOCTAW, MS 39350-6781
(601) 389-4156

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
AD05-019T
MS

Other

Enumeration date
03/01/2024
Last updated
03/05/2024
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