SHANAVIER CLARK

BILOXI, MS
NPI1477044071
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-05-21
Last Update Date2018-05-21
Business Address
SHANAVIER CLARK
1989 PASS RD
BILOXI, MS 39531-4103
Phone number: 228-207-1248
Mailing Address
SHANAVIER CLARK
1989 PASS RD
BILOXI, MS 39531-4103
Phone number: 228-207-1248
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