Shane Lee Whiteside
Shane Lee Whiteside is a Peer Specialist in Oxford, Mississippi. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
152 Highway 7 SOxford, MS 38655-5392
Phone: (662) 234-7521
Fax: (662) 236-3071
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|
Record details
| NPI number | 1174174502 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 26, 2019 |
| Last updated in NPPES | September 26, 2019 |
| Mailing address | 5280 County Road 220, Water Valley, MS 38965-6221 |
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Dixie Carol Thetford
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Savannah Dawn Williams, CPSS
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Jacquelyn Denise Winfrey, CPSS
152 Highway 7 S, Oxford, MS 38655-5392 · (662) 234-7521
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152 Highway 7 S, Oxford, MS 38655-5392 · (662) 234-7521