Individual
SHAKIRA LAQUINTA EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
630 W CORNERVIEW ST, GONZALES, LA 70737-2742
(225) 647-4105
Mailing address
8211 GOODWOOD BLVD STE A1, BATON ROUGE, LA 70806-7740
(225) 431-1921
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/17/2019
Last updated
12/27/2022
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