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Individual

WANAKEE ANNICK SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
209 BEGNAUD DR, LAFAYETTE, LA 70501-2501
(337) 501-8013
Mailing address
209 BEGNAUD DR, LAFAYETTE, LA 70501-2501
(337) 501-8013

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8421
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
154860097
LA
Enumeration date
06/09/2021
Last updated
11/01/2023
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