Individual
MRS. MYLISCHA SHAUNTE SMITH-LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-BACS
Contact information
Practice address
3201 S CARROLLTON AVE, NEW ORLEANS, LA 70118-4307
(504) 207-3060
(504) 207-6387
Mailing address
1515 POYDRAS ST, SUITE 1070, NEW ORLEANS, LA 70112-3723
(504) 524-1210
(504) 524-1491
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7502
LA
Other
Enumeration date
06/01/2009
Last updated
06/01/2009
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