Individual
MRS. SHANNA DONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
32 UNDERWOOD STREET, SEBASTOPOL, MS 39359
(601) 625-9742
Mailing address
10420 ROAD 537, PHILADELPHIA, MS 39350-5835
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C8185
MS
Other
Enumeration date
04/03/2020
Last updated
04/03/2020
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