Individual
AMANDA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6826 VETERANS BLVD, APT 232, METAIRIE, LA 70003-4441
(601) 392-6300
Mailing address
PO BOX 73304, METAIRIE, LA 70033-3304
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/21/2016
Last updated
09/21/2016
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