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1770062531
SHAYLA DENISE CANADY
SHREVEPORT, LA
NPI
1770062531
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2018-08-12
Last Update Date
2019-05-02
Business Address
Ms. SHAYLA DENISE CANADY MS, MAT
2605 BETTY ST
SHREVEPORT, LA 71108-5553
Phone number: 318-865-2311
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Mailing Address
Ms. SHAYLA DENISE CANADY MS, MAT
9739 MONTICELLO DR
SHREVEPORT, LA 71118-4233
Phone number: 501-412-2508
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