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Contact Information

MARY J SHAKES, LCSW
205 HERBERT STREET
DEMOPOLIS, AL36732
 Phone: 334-341-7400
 Fax: 601-485-5215
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for MARY J SHAKES · (Female)

NPI Number 1083785182
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 11/11/2006
Last updated 08/24/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • AL License # 0113C
  • MS License # 0113C
  • MS License # C7264
  • MS Other P00408326 MEDICARE RAILROAD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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