Shalonda Elane Willis
Social Worker
122 Desoto Ave Ste 109
Clarksdale
, Mississippi 38614-4440
Shalonda Elane Willis
Social Worker
122 Desoto Ave Ste 109
Clarksdale
, Mississippi 38614-4440
(318) 742-3408
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About
Features
Specialties
- Social Worker
Languages spoken
- English
Location
First Address
- Shalonda Elane Willis
- 2525 Youree Dr Ste 110
- Shreveport, LA
- Zip : 71104-3600
- Phone : (318) 742-3408
Second Address
- Shalonda Elane Willis
- 122 Desoto Ave Ste 109
- Clarksdale, MS
- Zip : 38614-4440
- Phone : (662) 592-5397
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 104100000X | Social Worker |
National Provider Identifier
| NPI | 1003346024 |
|---|---|
| Provider Name | Shalonda Elane Willis |
| First Address | Shreveport, LA 71104-3600 |
| Second Address | Clarksdale, MS 38614-4440 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/06/2017 |
| Last Update Date | 13/06/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.