Individual
SHAKIEL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3218 MALLARD LN., GRETNA, LA 70056
(504) 307-6318
Mailing address
3218 MALLARD LN., GRETNA, LA 70056
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/22/2016
Last updated
01/22/2016
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