Individual
SHAUNDER CHILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3310 HILL VALLEY LN, SOUTHAVEN, MS 38672-9501
(662) 812-3246
Mailing address
3310 HILL VALLEY LN, SOUTHAVEN, MS 38672-9501
(662) 812-3246
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
R874072
MS
Other
Enumeration date
01/15/2021
Last updated
01/15/2021
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