Individual
SHANEL WOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4348 S JEFFREY DR STE 101&102, BATON ROUGE, LA 70816-4196
(225) 361-0219
Mailing address
4348 S JEFFREY DR STE 101&102, BATON ROUGE, LA 70816-4196
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/07/2018
Last updated
02/07/2018
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