Individual
MRS. KIMBERLY B. SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
39341 JASON ST, PRAIRIEVILLE, LA 70769-4614
(225) 572-9608
Mailing address
39341 JASON ST, PRAIRIEVILLE, LA 70769-4614
(225) 572-9608
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4762
LA
Other
Enumeration date
07/21/2016
Last updated
07/21/2016
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