Individual
MRS. MASHALLAH SHAKUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3438 LAURELWOOD CT NE, ROSWELL, GA 30075-5250
(678) 637-7166
(770) 414-0804
Mailing address
3438 LAURELWOOD CT NE, ROSWELL, GA 30075-5250
(678) 637-7166
(770) 414-0804
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CSW005390
GA
Other
Enumeration date
04/15/2015
Last updated
04/15/2015
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