SHANDA RUSSELL

JACKSON, MS
NPI1073390647
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2023-09-08
Last Update Date2023-09-08
Business Address
SHANDA RUSSELL
4780 I 55 FRONTAGE RD N STE 105
JACKSON, MS 39211-5542
Phone number: 601-956-4816
Mailing Address
SHANDA RUSSELL
4780 I 55 FRONTAGE RD N STE 105
JACKSON, MS 39211-5542
Phone number: 601-956-4816
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