SearchMississippi1041C0700X

Shana Keyes, LCSW

NPI 1679883409 · on the registry since 2010 · sole proprietor

Practice

Address
4010 O'Ferral Street
Suite 110
Hattiesburg, MS 39402
Phone
(601) 201-7933
Fax
(601) 469-9927

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
106H00000X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2010-10-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi