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Data Detail

Name: Shannon Salter Fussell 

Designation: PhD

Issue Date: 6/3/2016

Expiration Date: 6/30/2025

License Number: 55 985

Disciplinary Action: None

Company: Gulf Coast Veterans Healthcare System

City: Biloxi

State: MS

Zip: 39531

Work Phone: (228) 523-5045  Ext:

Civil Commitment Certification: Yes