Individual
SHEIDRA TRAVELER BOUTTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4615 GOVERNMENT ST, BUILDING 2, BATON ROUGE, LA 70806-5922
(225) 925-1906
(225) 362-5356
Mailing address
4615 GOVERNMENT ST, BUILDING 2, BATON ROUGE, LA 70806-5922
(225) 925-1906
(225) 362-5356
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6323
LA
Other
Enumeration date
10/21/2015
Last updated
10/21/2015
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