Individual
SHARENA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
15224 JESTER AVE, BATON ROUGE, LA 70816-1322
(985) 360-8572
Mailing address
15224 JESTER AVE, BATON ROUGE, LA 70816-1322
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1559
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1559
—
LA
Enumeration date
02/05/2019
Last updated
02/05/2019
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