Individual
AMANDA WAITS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2226 MURPHY ST, SHREVEPORT, LA 71103-2549
(318) 344-3256
Mailing address
2226 MURPHY ST, SHREVEPORT, LA 71103-2549
(318) 603-6829
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8724
LA
Other
Enumeration date
04/23/2024
Last updated
04/23/2024
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