Individual
SHANELL WILLIAMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11 JT DR, BASSFIELD, MS 39421-4169
(601) 441-9333
Mailing address
11 JT DR, BASSFIELD, MS 39421-4169
(601) 441-9333
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
—
—
172V00000X
Community Health Worker
—
—
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
08/15/2023
Last updated
08/15/2023
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