Individual
SHANE E WAITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
33 CHURCH ST, GREENSBURG, LA 70441
(225) 222-3341
(225) 222-3368
Mailing address
PO BOX 216, GREENSBURG, LA 70441-0216
(225) 222-3341
(225) 222-3368
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
15309
LA
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
02/03/2017
Last updated
03/04/2024
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