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Individual

DEDRIC SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMSW

Contact information

Practice address
4615 GOVERNMENT ST, BUILDING 1, BATON ROUGE, LA 70806-5922
(225) 922-1477
(225) 922-2658
Mailing address
4615 GOVERNMENT ST, BUILDING 2, BATON ROUGE, LA 70806-5922
(225) 922-2700
(225) 362-5319

Taxonomy

Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
12853
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
08/19/2015
Last updated
09/20/2018
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