Individual
SHERRIE SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1701 WHITE ST, MCCOMB, MS 39648-2711
(601) 249-4218
(601) 249-4234
Mailing address
1701 WHITE ST, MCCOMB, MS 39648-2711
(601) 249-4218
(601) 249-4234
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
553
MS
Other
Enumeration date
10/07/2020
Last updated
10/07/2020
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