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1124462965
SHALONDA DALLETT CARLISLE
JACKSON, MS
NPI
1124462965
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MS C5788)
Enumeration Date
2013-04-23
Last Update Date
2013-04-23
Business Address
Miss SHALONDA DALLETT CARLISLE LCSW
3975 I 55 N APT T3
JACKSON, MS 39216-3726
Phone number: 601-383-1076
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Mailing Address
Miss SHALONDA DALLETT CARLISLE LCSW
3975 I 55 N APT T3
JACKSON, MS 39216-3726
Phone number: 601-383-1076
Copy
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