Most Relevant Information
Provider Data
| NPI Number: | 1003348681 |
| Provider Name: | WANDA SHOEMAKER |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/01/2017 |
| Last Updated: | 04/01/2017 |
Provider Practice Location
306 STAR ARLINGTON ST
LAKE PROVIDENCE
LA
712542012
Practice Location Phone/Fax
| Phone: | 3183720016 |
| Fax: |
Provider Mailing Location
306 STAR ARLINGTON ST
LAKE PROVIDENCE
LA
712542012
Provider Mailing Phone/Fax
| Phone: | 3183720016 |
| Fax: |