Individual
MS. TANEIA MIKELLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RSW
Contact information
Practice address
2888 DOUGHERTY DR APT 55, BATON ROUGE, LA 70805-7006
(225) 405-9452
Mailing address
2888 DOUGHERTY DR APT 55, BATON ROUGE, LA 70805-7006
(225) 405-9452
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
14376
LA
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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