Individual
TINA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
615 BARONNE ST STE 304, NEW ORLEANS, LA 70113-1054
(504) 814-8001
Mailing address
3922 ODIN ST, NEW ORLEANS, LA 70126-2247
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11912
LA
171M00000X
Case Manager/Care Coordinator
11912
LA
Other
Enumeration date
03/09/2016
Last updated
01/11/2019
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