Individual
SHANNAN GROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 W 7TH ST STE 7, THIBODAUX, LA 70301-3242
(985) 228-6223
(985) 228-6230
Mailing address
213 SAINT MARY ST STE 218, THIBODAUX, LA 70301-2634
(985) 228-6223
(985) 228-6230
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
LA
Other
Enumeration date
01/29/2024
Last updated
01/29/2024
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