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Individual

MS. HIAWATHA FRENCHSHELLA SANFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
740A WELLS EXT, COURTLAND, MS 38620-9639
(662) 934-0332
Mailing address
740A WELLS EXT., COURTLAND, MS 38620
(662) 934-0332

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
10517-C
AR
1041C0700X
Clinical Social Worker
34010171A
IN
1041C0700X
Clinical Social Worker
Primary
C4789
MS
1041C0700X
Clinical Social Worker
LSW6285
TN
1041C0700X
Clinical Social Worker
LW61328853
WA

Other

Enumeration date
12/31/2015
Last updated
03/03/2026
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