Individual
AMANDA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13258 HIGHWAY 416, ROUGON, LA 70773
(225) 492-3775
(225) 492-3782
Mailing address
6450 LOUISIANA HIGHWAY 1, BATCHELOR, LA 70715
(225) 492-3775
(225) 492-3782
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9028
LA
Other
Enumeration date
05/14/2015
Last updated
05/14/2015
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