Individual
MISS ANITRA SHENELL MOSES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9403 MANSFIELD RD, SHREVEPORT, LA 71118-3815
(318) 861-8938
(318) 862-3554
Mailing address
7518 HIGHWAY 1 BYP APT 2, NATCHITOCHES, LA 71457-3488
(318) 438-1618
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
LA
Other
Enumeration date
04/19/2018
Last updated
04/19/2018
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