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Individual

MS. S REBECCA KERSHAW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
301 FISHER ST, KEESLER MEDICAL CENTER, BILOXI, MS 39534-2508
(228) 376-3648
Mailing address
1457 GEORGIA PL, GULFPORT, MS 39507-1434
(228) 376-3648
(228) 377-6427

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
00354
MS

Other

Enumeration date
06/24/2006
Last updated
07/08/2007
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