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SHAKITA D ANDERSON

>> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1710497003

Individual Registrant:
 SHAKITA D ANDERSON 
Gender: F
Sole Proprietor

Location and contact information for practice:
1408 S 13TH ST  CORDELE, GA 31015-3950 US
Tel: 229-699-1700  Fax: --

Contact information for business:
PO BOX 1417  HINESVILLE, GA 31310-8417 US
Tel: --  Fax: --

Registration Information:
NPI: 1710497003
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101Y00000XBehavioral Health & Social Service Providers
Counselor

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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