Individual
AYANNA ALICIA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4040 BURBANK DR APT 20, BATON ROUGE, LA 70808-4494
(318) 436-1989
Mailing address
9147 RIDGE OAK DR APT E, BATON ROUGE, LA 70810-7000
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/31/2020
Last updated
01/13/2023
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