Individual
DAWN EMB SAHUALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2440 CRAWFORD DR, LAKE CHARLES, LA 70611-4654
(337) 405-8984
Mailing address
2440 CRAWFORD DR, LAKE CHARLES, LA 70611-4654
(337) 405-8984
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9017
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9017
LICENSING BOARD
LA
Enumeration date
08/07/2020
Last updated
08/07/2020
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