Individual
LAUREN KELLI SHOEMAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
516 W LAUREL AVE, HATTIESBURG, MS 39401-3503
(601) 606-0561
Mailing address
516 W LAUREL AVE, HATTIESBURG, MS 39401-3503
(601) 606-0561
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C11253
MS
1041S0200X
School Social Worker
C11253
MS
Other
Enumeration date
09/27/2024
Last updated
09/27/2024
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