Individual
LETISHA DEWANE SPEARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
628 N 4TH ST, BATON ROUGE, LA 70802-5342
(225) 342-8489
Mailing address
3693 EDGEMONT DR, BATON ROUGE, LA 70814-4826
(225) 218-5600
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9885
LA
Other
Enumeration date
01/21/2021
Last updated
01/21/2021
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