DEJUANA LACHELLE DANZELL PETTEWAY

SHREVEPORT, LA
NPI1740489301
Former NameDEJUANA LACHELLE DANZELL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: LA  9900)
Enumeration Date2007-07-13
Last Update Date2021-03-19
Business Address
MRS. DEJUANA LACHELLE DANZELL PETTEWAY LCSW, ASCW, ACHP-SW
510 E. STONER AVENUE
SHREVEPORT, LA 71101-4295
Phone number: 318-221-8411
Mailing Address
MRS. DEJUANA LACHELLE DANZELL PETTEWAY LCSW, ASCW, ACHP-SW
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-990-5781
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