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1669951778
SHASTAN C WATSON
CLARKSDALE, MS
NPI
1669951778
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2018-08-09
Last Update Date
2018-08-09
Business Address
SHASTAN C WATSON MS
1742 CHERYL ST
CLARKSDALE, MS 38614-7218
Phone number: 662-627-7267
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Mailing Address
SHASTAN C WATSON MS
PO BOX 1046
CLARKSDALE, MS 38614-1046
Phone number: 662-627-7267
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