Individual
SELENE ANAHI CORNEJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
622 RIVERSIDE DR, MONROE, LA 71201-6211
(318) 398-0945
Mailing address
622 RIVERSIDE DR, MONROE, LA 71201-6211
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PLC8209
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
05/08/2019
Last updated
10/11/2023
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