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1750912929
SHANNON LAIRD WOODRUFF
LA PLACE, LA
NPI
1750912929
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-01-28
Last Update Date
2020-01-28
Business Address
SHANNON LAIRD WOODRUFF MSW
128 WOODLAND DR
LA PLACE, LA 70068-5939
Phone number: 985-651-3777
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Mailing Address
SHANNON LAIRD WOODRUFF MSW
23035 COUNTRY RIVER DR
PONCHATOULA, LA 70454-7875
Phone number: 985-634-4380
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