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1205351384
SHAKENA LEE BOWIE
JACKSON, MS
NPI
1205351384
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2017-08-09
Last Update Date
2022-07-21
Business Address
SHAKENA LEE BOWIE PCMHT
3450 HIGHWAY 80 W
JACKSON, MS 39209
Phone number: 601-321-2497
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Mailing Address
SHAKENA LEE BOWIE PCMHT
3450 HIGHWAY 80 W
JACKSON, MS 39209-7201
Phone number: 601-321-2497
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