SHASTITY CLAIBORNE

TALLULAH, LA
NPI1841868031
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA  171M00000X)
Enumeration Date2021-06-14
Last Update Date2021-06-14
Business Address
SHASTITY CLAIBORNE
410 E ASKEW ST
TALLULAH, LA 71282-3706
Phone number: 318-574-2320
Mailing Address
SHASTITY CLAIBORNE
410 E ASKEW ST
TALLULAH, LA 71282-3706
Phone number: 318-574-2320
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