Individual
SHANIQUA WESLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1919 VETERANS MEMORIAL BLVD, KENNER, LA 70062-4003
(504) 330-6695
Mailing address
615 RICHARD ST, GRETNA, LA 70053-4825
(504) 330-6695
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
13675
LA
1041S0200X
School Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
12/19/2018
Last updated
04/17/2024
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