Individual
ALESHIA KEWANNA SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1424 ELLIS LN, WINNSBORO, LA 71295-5511
(318) 535-2674
Mailing address
1401 HUDSON LN STE 202, MONROE, LA 71201-6032
(318) 323-1300
(318) 323-1400
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
LA
Other
Enumeration date
05/08/2022
Last updated
05/08/2022
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