Tangie Short

NPI #1053763367 in Greenwell Springs, Louisiana

Provider Information

NPI Number: 1053763367
Entity Type: Individual
Name: Tangie Short
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Enumeration Date: Jul 11, 2016
Last Updated: Jul 11, 2016

Practice Location

Address: 6639 SULLIVAN RD
City: Greenwell Springs
State: Louisiana
ZIP Code: 70739-3112
Phone: (225) 261-0160

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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