Individual
STEPHANIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPSS
Contact information
Practice address
2751 WOODDALE BLVD, BATON ROUGE, LA 70805-7567
(225) 925-1906
(225) 362-5314
Mailing address
PO BOX 66558, BATON ROUGE, LA 70896-6558
(225) 925-4282
(225) 362-5319
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/12/2024
Last updated
07/12/2024
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