Individual
SHAWANDA A MCGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDA, CPR
Contact information
Practice address
2612 METAIRIE RD, METAIRIE, LA 70001-5426
(888) 880-9270
Mailing address
2937 MT. ARBOIS CT., MARRERO, LA 70072
(504) 708-8839
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
008422156
LA
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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