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Individual

SHAMIRIA LINDSEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1030 JEFFERSON AVE, MEMPHIS, TN 38104-2127
(901) 523-8990
Mailing address
2020 CENTRE ST, WEST ROXBURY, MA 02132-3316

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103TC0700X
Clinical Psychologist
Primary
3674
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110026265E
MA
Enumeration date
09/09/2013
Last updated
05/21/2021
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