Organization
THE SHEPHERD'S STAFF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RUTH L GLAZE (VP)
(601) 664-0455
Entity
Organization
Contact information
Practice address
2508 LAKELAND DR, SUITE 200, FLOWOOD, MS 39232-9502
(601) 664-0455
(601) 664-1675
Mailing address
2508 LAKELAND DR, SUITE 200, FLOWOOD, MS 39232-9502
(601) 664-0455
(601) 664-1675
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
MS
Other
Enumeration date
09/07/2007
Last updated
07/21/2022
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