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Individual

MRS. JACINDA DAWN DILWORTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, CMHT

Contact information

Practice address
1213 MARIA LN, IUKA, MS 38852-1135
(662) 423-3332
(662) 423-3331
Mailing address
PO BOX 1290, IUKA, MS 38852-6290
(662) 423-3332
(662) 423-3331

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MS
101YM0800X
Mental Health Counselor

Other

Enumeration date
02/04/2016
Last updated
02/02/2021
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