SHONDREA RUSSUM

JACKSON, MS
NPI1801332192
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: MS  PH3926)
Enumeration Date2017-01-11
Last Update Date2017-01-11
Business Address
-- SHONDREA RUSSUM PCMHT
460 BRIARWOOD DR SUITE 510
JACKSON, MS 39206-3051
Phone number: 601-956-4816
Mailing Address
-- SHONDREA RUSSUM PCMHT
460 BRIARWOOD DR SUITE 510
JACKSON, MS 39206-3051
Phone number: 601-956-4816
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