Organization
SHENELLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEJANARA DORSHELL BAKER (MENTAL HEALTH SPECIALIST)
(318) 655-1451
Entity
Organization
Contact information
Practice address
2120 N HEARNE AVE APT 403, SHREVEPORT, LA 71107-7183
(318) 655-1451
Mailing address
2120 N HEARNE AVE APT 403, SHREVEPORT, LA 71107-7183
(318) 655-1451
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/27/2017
Last updated
01/30/2017
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