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Individual

SUSAN L SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
1022 TOULOUSE ST, NEW ORLEANS, LA 70112-3479
(504) 455-7093
Mailing address
1022 TOULOUSE ST, NEW ORLEANS, LA 70112-3479
(504) 522-0912

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
Z10030
LA

Other

Enumeration date
05/24/2007
Last updated
07/08/2007
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