Individual
VICKI RENEE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3724 CLERMONT DR, NEW ORLEANS, LA 70122-4737
(856) 818-8684
Mailing address
3724 CLERMONT DR, NEW ORLEANS, LA 70122-4737
(856) 818-8684
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
LA
Other
Enumeration date
02/19/2024
Last updated
02/19/2024
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