SONNY MONTGOMER VAMC
Hospitals at Woodrow Wilson Ave, Jackson, MS

License number
Mississippi C6323
Category
Hospitals
Type
Special Hospital
Owner
Name: MICAH DICKSON TAYLOR LCSW
Title: OUTPATIENT LCSW
Phone: (601) 362-4471
Address
Address
1500 E Woodrow Wilson Ave, Jackson, MS 39216
National Provider ID: 1851730121
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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