SHANE KEITH LOPEZ

BELLE CHASSE, LA
NPI1285133256
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: LA  6551)
Enumeration Date2018-02-06
Last Update Date2019-03-11
Business Address
SHANE KEITH LOPEZ
115 KEATING DR
BELLE CHASSE, LA 70037
Phone number: 504-393-5750
Mailing Address
SHANE KEITH LOPEZ
115 KEATING DR
BELLE CHASSE, LA 70037-1629
Phone number: 504-393-5750
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