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NPI Profile for SHAKENA LEE BOWIE in JACKSON, MS.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X |
| NPI Number | 1205351384 |
|
| Status | Active | |
| Credentials | PCMHT | |
| Entity | Individual | |
| Enumeration date | 08/09/2017 | |
| Last updated | 07/21/2022 - About 4 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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SHAKENA LEE BOWIE
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SHAKENA LEE BOWIE, PCMHT