Individual
SHANNAE HARNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1809 W AIRLINE HWY, LA PLACE, LA 70068-3336
(985) 857-3696
(985) 857-3782
Mailing address
521 LEGION AVE, HOUMA, LA 70364-3339
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1259
LA
Other
Enumeration date
01/07/2014
Last updated
05/08/2015
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