Individual
SHAQUWANDA HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1010 AUBURN AVE, LAFAYETTE, LA 70503-2308
(337) 232-9457
Mailing address
1010 AUBURN AVE, LAFAYETTE, LA 70503-2308
(337) 232-9457
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
13076
LA
1041C0700X
Clinical Social Worker
Primary
13076
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/19/2016
Last updated
06/04/2024
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