Individual
MS. SHONTAE STALLWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BACHELORS PSYCHOLOGY
Contact information
Practice address
3013 20TH ST STE A, METAIRIE, LA 70002-4990
(504) 905-1280
Mailing address
3450 CATALINA DR, NEW ORLEANS, LA 70114-3309
(504) 905-1280
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/15/2024
Last updated
11/15/2024
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