Shatara Page Valid NPI
Individual provider · Social Worker · Hattiesburg, MS
- NPI
- 1093440307
- Type
- Individual (Type 1)
- Primary specialty
- Social Worker
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 104100000X
- License number
- M10092 (MS)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2022-07-20
- Last updated
- 2022-07-20
Practice location
110 Patton Ave
Hattiesburg, MS 39401-6155
(601) 582-1111