Provider Information for 1235142878
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ALISHA DAWN MARLOW Ph.D
Sex: Female
NPI: 1235142878
Last Updated: 2007-07-08
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1235142878 | ||||||||
| Enumeration Date | 2006-08-14 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1415 COLLEGE DR MERIDIAN, MS 39307-5345 United States Phone: 601-483-4821 | Fax:601-485-0223 | ||||||||
| Primary Practice Address | 1415 COLLEGE DR MERIDIAN, MS 39307-5345 United States Phone: 601-483-4821 | Fax:601-485-0223 | ||||||||
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