Individual
JUANIECE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5001 WESTBANK EXPY, MARRERO, LA 70072-2954
(504) 838-5215
Mailing address
183 RUE LANDRY RD, SAINT ROSE, LA 70087-3665
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/01/2017
Last updated
04/23/2019
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