Individual
CASHANDRA L HOOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
340 STATELINE RD W, SOUTHAVEN, MS 38671-1610
(662) 579-3955
Mailing address
2351 MOONEYHAM LN, HORN LAKE, MS 38637-1369
(901) 281-0018
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
890809
MS
Other
Enumeration date
04/27/2021
Last updated
04/27/2021
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