Individual
TIFFANY LYNN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-BACS
Contact information
Practice address
105 BELVIEW RD, LEESVILLE, LA 71446-2902
(337) 238-6431
(337) 238-7070
Mailing address
105 BELVIEW RD, LEESVILLE, LA 71446-2902
(337) 238-6431
(337) 238-7070
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
10110
LA
1041C0700X
Clinical Social Worker
Primary
10110
LA
Other
Enumeration date
02/17/2010
Last updated
01/25/2017
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