Individual
DWANA R SMOTHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
58305 JEFFERSON AVE, SLIDELL, LA 70460
(504) 258-3323
Mailing address
58305 JEFFERSON AVE, SLIDELL, LA 70460-3814
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
LA
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/05/2018
Last updated
05/14/2018
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