Wanda Shoemaker
NPI #1003348681 in Lake Providence, Louisiana
Provider Information
- NPI Number
- 1003348681
- Entity Type
- Individual
- Name
- Wanda Shoemaker
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Apr 1, 2017
- Last Updated
- Apr 1, 2017
Practice Location
- Address
- 306 STAR ARLINGTON ST
- City
- Lake Providence
- State
- Louisiana
- ZIP Code
- 71254-2012
- Phone
- (318) 372-0016
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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