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Individual

ANDREW SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BS

Contact information

Practice address
1418 TIGER DR, THIBODAUX, LA 70301-4337
(985) 449-4055
Mailing address
1418 TIGER DR, THIBODAUX, LA 70301-4337
(985) 449-4055

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
12/03/2018
Last updated
12/03/2018
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