Individual
MRS. DE'MARQUANE SHANTELLE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
458 HERNDON ST, SHREVEPORT, LA 71101-4859
(318) 429-6938
Mailing address
9005 LETHA LOOP, SHREVEPORT, LA 71118-2421
(318) 469-4340
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14324
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
06/28/2007
Last updated
02/22/2024
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