Individual
MS. SHARDE' MACK
Active
Individual
MS. SHARDE' MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
—
283Q00000X
Psychiatric Hospital
—
—
Other
Enumeration date
03/04/2014
Last updated
03/05/2014
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