Individual
COMMANISHA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2715 MACKEY PLACE, SHREVEPORT, LA 71118
(318) 220-8423
Mailing address
9049 HILTON DR, SHREVEPORT, LA 71118-2403
(318) 426-7724
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
11/22/2016
Last updated
11/22/2016
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