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Data Detail

Name: Melanie Elizabeth Leuty-Blackwell 

Designation: Ph.D.

Issue Date: 10/16/2015

Expiration Date: 6/30/2024

License Number: 55 970

Disciplinary Action: None

Company: University of Southern Mississippi

City: Hattiesburg

State: MS

Zip: 39402

Work Phone: (601) 266-5888  Ext:

Civil Commitment Certification: