Individual
SHAWANDA MCGEE POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3964 LOG FENCE CV, SOUTHAVEN, MS 38671-2315
(901) 558-5476
Mailing address
3964 LOG FENCE CV, SOUTHAVEN, MS 38671-2315
(901) 558-5476
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
118102
CA
1041C0700X
Clinical Social Worker
Primary
8981
TN
Other
Enumeration date
05/29/2020
Last updated
08/11/2026
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