Individual
AMANDA JANE MACASKILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 998-7843
Mailing address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 998-7843
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5550
LA
1041C0700X
Clinical Social Worker
5550
—
Other
Enumeration date
02/18/2021
Last updated
10/11/2023
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