Individual
SHAFIAH LEQUAN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
712 FIRST ST, DELHI, LA 71232-2421
(318) 878-6696
(318) 878-6698
Mailing address
206 CURVE DR APT 15, MONROE, LA 71203-4202
(708) 269-5155
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/06/2016
Last updated
04/06/2016
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