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Individual

MS. SHUANA FANEASE FLETCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW, MAC

Contact information

Practice address
135 BOUNDS ST, JACKSON, MS 39206-4121
(601) 918-2079
(601) 510-9892
Mailing address
PO BOX 423, BRANDON, MS 39043-0423
(601) 919-2079

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C10726
MS

Other

Enumeration date
10/18/2023
Last updated
10/18/2023
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