Individual
SHALONDA WALLACE GOLDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12516 LAKE LAMOND AVE, BATON ROUGE, LA 70816-4314
(225) 202-3830
Mailing address
12516 LAKE LAMOND AVE, BATON ROUGE, LA 70816-4314
(225) 202-3830
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8948
LA
Other
Enumeration date
10/26/2024
Last updated
11/10/2024
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