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NPI Code Detail

MEDICARE: MRS. LASHAUNDRA DENISE GALE LSW

MEDICARE: MRS. LASHAUNDRA DENISE GALE LSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerC-11505MS
2101YM0800XMental Health CounselorW7054MS

General Provider Information

NPI Number : 1902437734
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LASHAUNDRA DENISE GALE LSW
Provider Business Mailing Address
First Line : 89 COUNTY ROAD 108
Second Line :
City : ABBEVILLE
State : MS
Zip : 38601
Country : US
Telephone Number : 662-607-4643
Fax Number :
Provider Business Practice Location Address
First Line : 152 HIGHWAY 7 S
Second Line :
City : OXFORD
State : MS
Zip : 38655-5392
Country : US
Telephone Number : 662-234-7521
Fax Number : 662-236-3071
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2020
Last Update Date : 06/12/2026

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