Individual
SHANNON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1050 S JEFFERSON DAVIS PKWY, NEW ORLEANS, LA 70125-1200
(504) 821-7085
Mailing address
1050 S JEFFERSON DAVIS PKWY, NEW ORLEANS, LA 70125-1200
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11019
LA
Other
Enumeration date
01/19/2016
Last updated
01/19/2016
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