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Individual

MS. LAKESHIA SHANEA KERN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11 WOODSTONE PLZ, HATTIESBURG, MS 39402-8342
(769) 390-7234
Mailing address
860 E RIVER PL STE 100, JACKSON, MS 39202-3442

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
106S00000X
Behavior Technician

Other

Enumeration date
07/15/2022
Last updated
09/10/2024
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