Individual
SHAILAH HAGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2522 E 70TH ST, SHREVEPORT, LA 71105-4002
(318) 795-3388
(318) 795-3399
Mailing address
2522 E 70TH ST, SHREVEPORT, LA 71105-4002
(318) 795-3388
(318) 795-3399
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
R-19468
LA
Other
Enumeration date
10/14/2024
Last updated
10/14/2024
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