Individual
SHANNON LAIRD WOODRUFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
128 WOODLAND DR, LA PLACE, LA 70068-5939
(985) 651-3777
(985) 651-3770
Mailing address
23035 COUNTRY RIVER DR, PONCHATOULA, LA 70454-7875
(985) 634-4380
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/28/2020
Last updated
01/28/2020
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