Individual
MIA ANNE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP 4335
Contact information
Practice address
1100 WEBSTER ST, DONALDSONVILLE, LA 70346-2754
(225) 391-6000
Mailing address
10617 HOLLYBROOK DR, BATON ROUGE, LA 70809-4055
(225) 405-1169
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4335
LA
Other
Enumeration date
01/19/2022
Last updated
01/19/2022
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