Individual
SHONDRA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
7850 ANSELMO LN STE B, BATON ROUGE, LA 70810-1101
(225) 761-3140
Mailing address
809 SUMMER BREEZE DR APT 1208, BATON ROUGE, LA 70810-6380
(601) 214-7688
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M8637
MS
1041C0700X
Clinical Social Worker
15477
LA
225800000X
Recreation Therapist
58766
MS
Other
Enumeration date
04/26/2016
Last updated
11/11/2023
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