Individual
DARRIE'L SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2715 MACKEY, SHREVEPORT, LA 71118
(318) 220-8423
Mailing address
2715 MACKEY PL STE 135, SHREVEPORT, LA 71118-2528
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/12/2017
Last updated
05/12/2017
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