NPI 1003346024

Shalonda Elane Willis

Practitioner Social Worker Clarksdale, MS

Practice location

Address: 122 Desoto Ave STE 109, Clarksdale, MS 38614-4440
Phone: (662) 592-5397
Mailing address: 2525 Youree Dr STE 110, Shreveport, LA 71104-3600

Registered specialties

Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 104100000X

Other Social Worker providers in Mississippi →

Registry record

NPI: 1003346024
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Jun 2017
Record last updated: 13 Jun 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.