Individual
SHADREKA WALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1434 HAWN AVE STE 12, SHREVEPORT, LA 71107-6508
(318) 675-0224
Mailing address
2924 KNIGHT ST STE 369, SHREVEPORT, LA 71105-2413
(318) 210-0587
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
06/03/2020
Last updated
06/17/2025
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