Individual
SHOTOYA LATRICE AYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2115 FITZENREITER RD, LAKE CHARLES, LA 70601-1139
(337) 439-0880
(337) 439-0887
Mailing address
1116 KINGS RD, LEESVILLE, LA 71446-4126
(337) 397-1704
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PLC8832
LA
Other
Enumeration date
01/12/2022
Last updated
01/14/2022
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