Individual
SHANDRA MBANGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4462 WHISPERWOODS DR, COLLIERVILLE, TN 38017-8545
(618) 698-7612
Mailing address
4462 WHISPERWOODS DR, COLLIERVILLE, TN 38017-8545
(618) 698-7612
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8352
TN
Other
Enumeration date
08/18/2023
Last updated
08/18/2023
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