Individual
SHAKISHA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2219 CLAIBORNE AVE, SHREVEPORT, LA 71103-4301
(318) 779-0434
Mailing address
2219 CLAIBORNE AVE, SHREVEPORT, LA 71103-4301
(318) 518-0178
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10763
LA
Other
Enumeration date
06/28/2018
Last updated
06/28/2018
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