Individual
MEMOREE SHANAE BURGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5232 16TH AVE, MERIDIAN, MS 39305-1657
(601) 692-4235
Mailing address
5232 16TH AVE, MERIDIAN, MS 39305-1657
(601) 692-4235
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
6535C
AL
1041C0700X
Clinical Social Worker
Primary
C11349
MS
Other
Enumeration date
12/04/2024
Last updated
04/29/2026
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