SHANNON LATRAE COMERY

DONALDSONVILLE, LA
NPI1194230094
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2017-12-13
Last Update Date2018-07-31
Business Address
SHANNON LATRAE COMERY
206 CLINIC DR
DONALDSONVILLE, LA 70346
Phone number: 225-264-6670
Mailing Address
SHANNON LATRAE COMERY
206 CLINIC DR
DONALDSONVILLE, LA 70346-4309
Phone number: 225-264-6670
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