Individual
MAISA EULANA SHELMIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
325 WOODPECKER ST, BATON ROUGE, LA 70807-3452
(225) 939-4816
Mailing address
325 WOODPECKER ST, BATON ROUGE, LA 70807-3452
(225) 939-4816
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8828
LA
Other
Enumeration date
10/06/2014
Last updated
10/06/2014
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