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Individual

SHANTELL SCOTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1649 JEFFERSON ST, LA PLACE, LA 70068-6010
(985) 212-4180
Mailing address
1649 JEFFERSON ST, LA PLACE, LA 70068-6010
(985) 212-4180

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
04/18/2016
Last updated
04/18/2016
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