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NPI Code Detail

MEDICARE: SHEQUEA OVERALL

MEDICARE:   SHEQUEA  OVERALL
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
1104100000XSocial Worker19442LA
2171M00000XCase Manager/Care Coordinator1932822137LA

General Provider Information

NPI Number : 1932822137
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHEQUEA OVERALL
Provider Business Mailing Address
First Line : 112 DIRT LN
Second Line :
City : WEST MONROE
State : LA
Zip : 71292-2214
Country : US
Telephone Number : 216-256-4076
Fax Number :
Provider Business Practice Location Address
First Line : 413 S FARMERVILLE ST
Second Line :
City : RUSTON
State : LA
Zip : 71270-4654
Country : US
Telephone Number : 318-548-1463
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2022
Last Update Date : 03/09/2026

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Directions to “ SHEQUEA OVERALL ” Practice Location

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