Individual
SHARON STAKELUM MATRANGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1809 W AIRLINE HWY, LA PLACE, LA 70068-3336
(985) 876-8876
Mailing address
2018 DELACHAISE ST, NEW ORLEANS, LA 70115-5329
(504) 408-6917
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
14366
LA
1041C0700X
Clinical Social Worker
Primary
14366
LA
171M00000X
Case Manager/Care Coordinator
14366
LA
Other
Enumeration date
03/29/2018
Last updated
08/17/2021
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