Individual
LATRECA RENEE HARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
751 BAYOU PINES EAST DR STE C, LAKE CHARLES, LA 70601-7196
(337) 249-0829
Mailing address
1000 CHINABERRY DR STE 900, BOSSIER CITY, LA 71111-2455
(337) 249-0829
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
18880
LA
Other
Enumeration date
12/27/2017
Last updated
10/09/2024
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