Individual
MRS. MARY BOYD SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
602 MAIN STREET, PINEVILLE, LA 71360-6936
(318) 767-6113
(319) 767-6114
Mailing address
602 MAIN STREET, PINEVILLE, LA 71360-6936
(318) 767-6113
(319) 767-6114
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1735
LA
Other
Enumeration date
08/06/2010
Last updated
08/06/2010
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