KANSHA SHANTELLE SLACK

MONROE, LA
NPI1124595541
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2018-10-24
Last Update Date2018-10-24
Business Address
KANSHA SHANTELLE SLACK
2017 HUDSON LN
MONROE, LA 71201-5705
Phone number: 318-381-8584
Mailing Address
KANSHA SHANTELLE SLACK
2017 HUDSON LN
MONROE, LA 71201-5705
Phone number: 318-381-8584