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Shawn Dwayne Bailey Jr.

Case Manager/Care Coordinator in La Place, LA. Individual provider (NPI-1).

NPI number1548833932
StatusActive
Last updated in NPPESJul 22, 2021

Details

NPI
1548833932
Entity type
Individual (NPI-1)
Name
Shawn Dwayne Bailey Jr.
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 22, 2021
Certification date
Jul 21, 2021
Last updated
Jul 22, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

1708 Chantilly Dr
La Place, LA 70068-2446

Phone 985-651-4612

Mailing address

1708 Chantilly Dr Ste B
La Place, LA 70068-2446

Phone 925-651-4612

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