Individual
MAYSHONNA WINSLOW BAYONNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
138 VAUGHN ST, CAMPTI, LA 71411
(318) 521-4120
Mailing address
138 VAUGHN ST, CAMPTI, LA 71411-4014
(318) 521-4120
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
14938
LA
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
11/14/2016
Last updated
12/27/2023
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