Individual
MRS. SHERBERT V CANADA-MOSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.W.
Contact information
Practice address
63420 HIGHWAY 25 N, SMITHVILLE, MS 38870-9700
(662) 651-4637
(662) 651-4636
Mailing address
1030 JEFFERSON AVE, MEMPHIS, TN 38104-2127
(901) 523-8990
(901) 577-7467
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
W6257
MS
Other
Enumeration date
11/08/2007
Last updated
11/08/2007
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