Individual
LANETTA G WOODARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2924 KNIGHT ST BLDG 4, SHREVEPORT, LA 71105-2415
(318) 631-1122
(318) 866-9622
Mailing address
3770 ELMER LN, SHREVEPORT, LA 71109-2024
(318) 278-7819
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/25/2015
Last updated
09/25/2015
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