Individual
SHATOYIA MONIQUE STOVALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LICSW, LSCSW
Contact information
Practice address
424 CYPRESS AVE, CLARKSDALE, MS 38614-2610
(662) 645-9069
Mailing address
424 CYPRESS AVE, CLARKSDALE, MS 38614-2610
(662) 645-9069
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
06518
KS
1041C0700X
Clinical Social Worker
33036
MN
1041C0700X
Clinical Social Worker
Primary
8791C
AR
1041C0700X
Clinical Social Worker
C11967
MS
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
03/05/2018
Last updated
08/10/2026
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