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NPI Code Detail

MEDICARE: SHAMYRA HOWARD L.C.S.W.

MEDICARE: SHAMYRA HOWARD L.C.S.W.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker11574LA

General Provider Information

NPI Number : 1245607548
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAMYRA HOWARD L.C.S.W.
Provider Business Mailing Address
First Line : 4845 JAMESTOWN AVE
Second Line :
City : BATON ROUGE
State : LA
Zip : 70808-3247
Country : US
Telephone Number : 225-366-7472
Fax Number :
Provider Business Practice Location Address
First Line : 4845 JAMESTOWN AVE
Second Line :
City : BATON ROUGE
State : LA
Zip : 70808-3247
Country : US
Telephone Number : 225-366-7472
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2015
Last Update Date : 09/27/2015

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