Individual
MRS. MARIA YOORSAENG SHEDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
402B LEGACY PARK, RIDGELAND, MS 39157-4315
(769) 233-7154
Mailing address
116 EIGHTH AVE, MORTON, MS 39117-3904
(662) 364-1011
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-168001
MS
Other
Enumeration date
12/23/2021
Last updated
12/23/2021
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