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1740699370
SELINA SHANKS
FLOWOOD, MS
NPI
1740699370
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MS C5911)
Enumeration Date
2014-08-07
Last Update Date
2018-03-17
Business Address
SELINA SHANKS
232 MARKET ST STE 228
FLOWOOD, MS 39232-3339
Phone number: 601-460-0730
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Mailing Address
SELINA SHANKS
223 SWAN LAKE DR
JACKSON, MS 39212-5337
Phone number:
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