Individual
MS. SHALONDA KNIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6204 N STATE ST, JACKSON, MS 39213-9731
(601) 321-9653
(769) 233-8094
Mailing address
2253 MEAGAN DR, JACKSON, MS 39272-5682
(662) 721-6970
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
06/15/2015
Last updated
06/15/2015
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