Individual
MS. SHAWANDA ANN BLATCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
401 WHITNEY AVE STE 409, GRETNA, LA 70056-2503
(504) 362-9010
Mailing address
401 WHITNEY AVE STE 409, GRETNA, LA 70056-2503
(504) 362-9010
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12250
LA
171M00000X
Case Manager/Care Coordinator
12250
LA
Other
Enumeration date
01/03/2018
Last updated
05/14/2021
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