Individual
SHAWNEQUA KEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
114 EXCHANGE PL, LAFAYETTE, LA 70503-2510
(337) 291-2815
(337) 291-2817
Mailing address
114 EXCHANGE PL, LAFAYETTE, LA 70503-2510
(337) 291-2815
(337) 291-2817
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/07/2016
Last updated
04/07/2016
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