Individual
MRS. SHACORYE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5409 LAKESIDE CIR, SHREVEPORT, LA 71119-6529
(318) 393-1387
Mailing address
5409 LAKESIDE CIR, SHREVEPORT, LA 71119-6529
(318) 393-1387
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13134
LA
Other
Enumeration date
08/13/2018
Last updated
10/29/2024
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