Individual
CORLICIA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
623 FRANKLIN AVE, GRETNA, LA 70053-2115
(504) 533-9885
Mailing address
2513 JOY ANN DR, MARRERO, LA 70072-6421
(504) 307-6366
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/01/2022
Last updated
11/07/2022
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