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Data Detail

Name: Charles Sidney Small 

Designation: Ph.D.

Issue Date: 11/9/1973

Expiration Date: 6/30/2025

License Number: 8 110

Disciplinary Action: None

Company: Self

City: Greenville

State: MS

Zip: 38920

Work Phone: (662) 647-6406  Ext:

Civil Commitment Certification: Yes