Individual
MS. SHAKIRA DENISE BIRGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
122 DESOTO AVE, CLARKSDALE, MS 38614-4420
(662) 545-1080
Mailing address
860 E RIVER PL STE 100860, JACKSON, MS 39202-3442
(756) 251-5550
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/29/2019
Last updated
05/29/2019
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