MARY JUANITA SHAKES

DEMOPOLIS, AL
NPI1083785182
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: MS  0113C)
Additional Taxonomies1041C0700X Social Worker Clinical
(Licence: AL  0113C)
1041C0700X Social Worker Clinical
(Licence: MS  C7264)
1041C0700X Social Worker Clinical
Enumeration Date2006-11-11
Last Update Date2011-08-24
Business Address
MRS. MARY JUANITA SHAKES LCSW
205 HERBERT STREET
DEMOPOLIS, AL 36732
Phone number: 334-341-7400
Mailing Address
MRS. MARY JUANITA SHAKES LCSW
P.O. BOX 1127
DEMOPOLIS, AL 36732
Phone number: 334-341-7400