SHAWNA MOUTON

LAKE CHARLES, LA
NPI1679930382
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor Mental Health
Enumeration Date2016-01-26
Last Update Date2019-06-25
Business Address
MRS. SHAWNA MOUTON
1202 KIRKMAN ST
LAKE CHARLES, LA 70601-5391
Phone number: 337-419-6582
Mailing Address
MRS. SHAWNA MOUTON
1202 KIRKMAN ST
LAKE CHARLES, LA 70601-5391
Phone number: 337-419-6582
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