SHAYNA BULLOCK

MONROE, LA
NPI1538785183
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2020-06-19
Last Update Date2020-06-19
Business Address
SHAYNA BULLOCK
1401 HUDSON LN STE 202
MONROE, LA 71201-6032
Phone number: 318-651-0086
Mailing Address
SHAYNA BULLOCK
1401 HUDSON LN STE 202
MONROE, LA 71201-6032
Phone number: 318-651-0086
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