Individual
MS. SHAMORA SHAW'NAE GILLIAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHS
Contact information
Practice address
5998 VANCOUVER DR, SHREVEPORT, LA 71107-2046
(940) 218-0355
Mailing address
5998 VANCOUVER DR, SHREVEPORT, LA 71107-2046
(940) 218-0355
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
03/01/2017
Last updated
03/21/2023
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