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Individual

ANGELIA SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2433 KNIGHTWAY DR, GRETNA, LA 70056-3042
(504) 421-6149
Mailing address
2433 KNIGHTWAY DR, GRETNA, LA 70056-3042
(504) 421-6149

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LA

Other

Enumeration date
11/21/2017
Last updated
11/21/2017
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