Individual
SUE WONA SKAINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4396 HIGHWAY 80, RUSTON, LA 71270-8948
(318) 251-4659
(318) 251-4659
Mailing address
4396 HIGHWAY 80, RUSTON, LA 71270-8948
(318) 251-4659
(318) 251-4659
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8165
LA
1041C0700X
Clinical Social Worker
8165
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13579
—
LA
Enumeration date
06/30/2014
Last updated
02/24/2021
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