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1720435852
SHANNON DOUGLAS
BATON ROUGE, LA
NPI
1720435852
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2016-05-18
Last Update Date
2018-07-17
Business Address
SHANNON DOUGLAS
2156 WOODDALE BLVD STE 100
BATON ROUGE, LA 70806
Phone number: 225-928-4040
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Mailing Address
SHANNON DOUGLAS
2156 WOODDALE BLVD STE 100
BATON ROUGE, LA 70806-1476
Phone number: 225-928-4040
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