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Individual

MS. SHAUNTA SHANELL RANDALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
(BS) PSYCHOLOGY

Contact information

Practice address
9 ROUX 61 DR STE C, NATCHEZ, MS 39120-2176
(601) 897-8100
Mailing address
77 PINEMOUNT RD, NATCHEZ, MS 39120-9400
(228) 800-1502

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
02/15/2023
Last updated
02/15/2023
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