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1053702043
SHANNON WALSDORF
MANDEVILLE, LA
NPI
1053702043
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: LA 11202)
Enumeration Date
2015-02-11
Last Update Date
2015-02-11
Business Address
Dr. SHANNON WALSDORF PhD, MSW, LCSW
4005 AZALEA CT
MANDEVILLE, LA 70448-7044
Phone number: 985-373-8609
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Mailing Address
Dr. SHANNON WALSDORF PhD, MSW, LCSW
4005 AZALEA CT
MANDEVILLE, LA 70448-7044
Phone number: 985-373-8609
Copy
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