Individual
TONJA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
706 W 28TH AVE, COVINGTON, LA 70433-1466
(504) 289-2084
Mailing address
933 DESTIN ST, MANDEVILLE, LA 70448-2403
(504) 289-2084
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9932
LA
Other
Enumeration date
09/20/2022
Last updated
09/20/2022
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