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Individual

SHANON BRINER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
701 PAPWORTH AVE STE 209, METAIRIE, LA 70005-4923
(504) 236-8775
Mailing address
401 WILLOWDALE BLVD, LULING, LA 70070-3053
(504) 236-8775

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LA

Other

Enumeration date
09/25/2019
Last updated
09/25/2019
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