Individual
ELIZABETH SHACKELFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
2924 KNIGHT ST, SUITE 426, SHREVEPORT, LA 71105-2415
(318) 754-3560
(318) 779-0439
Mailing address
2924 KNIGHT ST, SUITE 426, SHREVEPORT, LA 71105-2415
(318) 754-3560
(318) 779-0439
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
LA
Other
Enumeration date
06/03/2016
Last updated
06/03/2016
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