Individual
MARQUITA SHAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
422 WILLOW BAY DR, BYRAM, MS 39272-3502
(601) 292-9945
Mailing address
422 WILLOW BAY DR, BYRAM, MS 39272-3502
(601) 292-9945
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P-0940
MS
Other
Enumeration date
02/07/2012
Last updated
09/21/2024
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