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Individual

MRS. SHAWN BRIDGEFORTH SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1601 PERDIDO ST, NEW ORLEANS, LA 70112-1262
(504) 558-1400
Mailing address
1601 PERDIDO ST, NEW ORLEANS, LA 70112-1262

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6402
LA
1041C0700X
Clinical Social Worker
C8276
MS

Other

Enumeration date
06/06/2015
Last updated
06/06/2015
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