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Individual

MICHAEL ANTHONY SHOWERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
17536 RISING FAWN RD, AMITE, LA 70422
(469) 744-8357
Mailing address
17536 RISING FAWN RD, AMITE, LA 70422-7436
(469) 744-8357

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LA
104100000X
Social Worker
LA

Other

Enumeration date
07/07/2017
Last updated
07/21/2022
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