Individual
SHANA RUBERSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2150 GENERAL PERSHING ST, MANDEVILLE, LA 70448-5125
(985) 674-5155
Mailing address
2150 GENERAL PERSHING STREET, MANDEVILLE, LA 70448
(985) 674-5155
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/04/2016
Last updated
10/04/2016
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