Kholada Shaw
Kholada Shaw is a Mental Health Counselor in Brandon, Mississippi. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
613 Marquette RdBrandon, MS 39042
Phone: (601) 824-1692
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1831834415 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 28, 2022 |
| Last updated in NPPES | April 28, 2022 |
| Certification date | April 28, 2022 |
| Mailing address | P.O. Box 88, Brandon, MS 39043 |
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