MRS. Mary Juanita Shakes, LCSW

NPI #1083785182 in Demopolis, Alabama

Provider Information

NPI Number: 1083785182
Entity Type: Individual
Name: MRS. Mary Juanita Shakes, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Nov 11, 2006
Last Updated: Aug 24, 2011

Practice Location

Address: 205 HERBERT STREET
City: Demopolis
State: Alabama
ZIP Code: 36732
Phone: (334) 341-7400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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