Individual
SHAHIDAH SALAAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
620 S LAUREL ST, PINE BLUFF, AR 71601-4859
(870) 534-4900
(870) 534-4906
Mailing address
620 S LAUREL ST, PINE BLUFF, AR 71601-4859
(870) 534-4900
(870) 534-4906
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7967-M
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
180635526
—
AR
Enumeration date
09/17/2018
Last updated
09/17/2018
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