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Organization
SHOULDERS OF STRENGTH INC
Active
Organization
SHOULDERS OF STRENGTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANTOINETTE M CLARK (DIRECTOR)
(318) 323-9995
Entity
Organization
Contact information
Practice address
2900 CAMERON ST, MONROE, LA 71201-3714
(318) 323-9995
(318) 325-8943
Mailing address
2900 CAMERON ST, MONROE, LA 71201-3714
(318) 323-9995
(318) 325-8943
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
5007
LA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1470643
—
LA
Enumeration date
05/10/2007
Last updated
06/16/2023
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