Individual
ROCHLAND SHUNTA PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3025 JAMES DR NW, WESSON, MS 39191-6042
(601) 896-6544
Mailing address
3025 JAMES DR NW, WESSON, MS 39191-6042
(601) 896-6544
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
171133
MS
Other
Enumeration date
12/06/2023
Last updated
12/06/2023
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