Individual
SHAWANDA BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
5466 BRANCHVIEW DR, OLIVE BRANCH, MS 38654-7487
(662) 207-7172
Mailing address
5466 BRANCHVIEW DR, OLIVE BRANCH, MS 38654-7487
(662) 207-7172
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S3004
MS
Other
Enumeration date
02/22/2016
Last updated
02/22/2016
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