Individual
SHANTA DANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
215 MANGO DR, LAFAYETTE, LA 70507-7038
(337) 344-5012
Mailing address
215 MANGO DR, LAFAYETTE, LA 70507-7038
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8452
LA
Other
Enumeration date
08/06/2019
Last updated
01/09/2024
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