Individual
SHELLY ANN MANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2013 CLAIBORNE ST, MANDEVILLE, LA 70448-5804
(985) 285-6059
Mailing address
PO BOX 949, SLIDELL, LA 70459-0949
(985) 285-6059
(888) 740-5909
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8846
LA
1041C0700X
Clinical Social Worker
C7570
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3426374
—
LA
Enumeration date
02/04/2009
Last updated
09/11/2024
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