Individual
SHOQUANA HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW, RPSGT
Contact information
Practice address
6047 BERRETTA CV, SOUTHAVEN, MS 38671-6802
(662) 420-2675
Mailing address
6047 BERRETTA CV, SOUTHAVEN, MS 38671-6802
(662) 420-2675
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
07/14/2020
Last updated
07/14/2020
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