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1801332192
SHONDREA RUSSUM
JACKSON, MS
NPI
1801332192
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: MS PH3926)
Enumeration Date
2017-01-11
Last Update Date
2017-01-11
Business Address
SHONDREA RUSSUM PCMHT
460 BRIARWOOD DR SUITE 510
JACKSON, MS 39206-3051
Phone number: 601-956-4816
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Mailing Address
SHONDREA RUSSUM PCMHT
460 BRIARWOOD DR SUITE 510
JACKSON, MS 39206-3051
Phone number: 601-956-4816
Copy
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