SHANTAE MESHELLE DURDEN

SHREVEPORT, LA
NPI1760689335
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA  CAC1483)
Enumeration Date2007-06-28
Last Update Date2022-07-21
Business Address
Mrs. SHANTAE MESHELLE DURDEN CAC
1310 N HEARNE AVE
SHREVEPORT, LA 71107-6516
Phone number: 318-676-5111
Mailing Address
Mrs. SHANTAE MESHELLE DURDEN CAC
1310 N. HEARNE AVE
SHREVEPORT, LA 71107
Phone number: 318-676-5111
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