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1740489301
DEJUANA LACHELLE DANZELL PETTEWAY
SHREVEPORT, LA
NPI
1740489301
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Former Name
DEJUANA LACHELLE DANZELL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: LA 9900)
Enumeration Date
2007-07-13
Last Update Date
2021-03-19
Business Address
Mrs. DEJUANA LACHELLE DANZELL PETTEWAY LCSW, ASCW, ACHP-SW
510 E. STONER AVENUE
SHREVEPORT, LA 71101-4295
Phone number: 318-221-8411
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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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