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Individual

MISS ELAINE E. SHANEYFELT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
L.C.S.W.

Contact information

Practice address
401 WHITNEY AVE STE 205, GRETNA, LA 70056-2501
(504) 366-6217
(504) 366-7642
Mailing address
401 WHITNEY AVE STE 205, GRETNA, LA 70056-2501
(504) 366-6217
(504) 366-7642

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10882
LA
1041C0700X
Clinical Social Worker
1640C
AL

Other

Enumeration date
07/11/2011
Last updated
07/11/2011
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