Long, Shirley

Long, Shirley is an individual health care provider with primary practice located at 1742 Cheryl St , Clarksdale MS 38614. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Long, Shirley can be contacted via phone (662) 627-7267.

Contact Information

Primary practice address
1742 Cheryl St Clarksdale MS 38614
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1427253970
LBN Legal business name Long, Shirley
Credentials Master of Education (MED)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2007
Last updated Aug 15th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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