Individual
VIRGINIA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 BAMBOO RD, NEW ORLEANS, LA 70124-1007
(504) 452-3504
Mailing address
1 BAMBOO RD, NEW ORLEANS, LA 70124-1007
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6314
LA
Other
Enumeration date
04/10/2014
Last updated
04/10/2014
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