Most Relevant Information
Provider Data
| NPI Number: | 1003267444 |
| Provider Name: | SHELIA RIVERS DSW, LCSW, MPH |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 3831C |
Most Important Dates
| Enumeration Date: | 06/27/2016 |
| Last Updated: | 11/11/2023 |
Provider Practice Location
417 SECURITY SQ
GULFPORT
MS
395071922
Practice Location Phone/Fax
| Phone: | 7077285131 |
| Fax: |
Provider Mailing Location
PO BOX 255
GULFPORT
MS
395020255
Provider Mailing Phone/Fax
| Phone: | 7077285131 |
| Fax: |