Individual
CHERRELLE N SHORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
800 OHIO AVE, CLARKSDALE, MS 38614-7200
(662) 624-2504
(662) 627-3629
Mailing address
PO BOX 1216, CLARKSDALE, MS 38614-1216
(662) 624-4292
(662) 624-4354
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
677M
AR
Other
Enumeration date
06/19/2018
Last updated
06/01/2020
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