Individual
MISS CHELSEA CHANTREZ SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
2133 E BERT KOUNS INDUSTRIAL LOOP, SHREVEPORT, LA 71105-5314
(318) 221-2828
Mailing address
1618 MAIN ST, HAYNESVILLE, LA 71038-5004
(318) 624-4935
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171M00000X
—
LA
Enumeration date
08/30/2022
Last updated
11/14/2023
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