Individual
SHELLY A BLANCHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1186 FREMAUX AVE, SLIDELL, LA 70458-3538
(985) 643-5145
Mailing address
1020 BAY RIDGE DR, SLIDELL, LA 70461-3118
(504) 813-0226
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/28/2010
Last updated
01/28/2010
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