Individual
SAMANTHA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2626 CHARLES DR, CHALMETTE, LA 70043-3779
(504) 278-4006
(504) 278-4007
Mailing address
135 4TH ST, BRIDGE CITY, LA 70094-3315
(504) 579-6782
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/26/2013
Last updated
02/26/2013
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