Individual
SHELBY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
702 W PINE ST, HATTIESBURG, MS 39401-3836
(601) 909-4220
Mailing address
702 W PINE ST, HATTIESBURG, MS 39401-3836
(601) 909-4220
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M10626
MS
1041C0700X
Clinical Social Worker
Primary
C12105
MS
Other
Enumeration date
07/24/2023
Last updated
07/30/2026
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