Individual
MISS TAMBERLY MELISSA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
400 GEORGIA AVE STE 1, BOGALUSA, LA 70427-3866
(985) 732-6610
Mailing address
400 GEORGIA AVE STE 1, BOGALUSA, LA 70427-3866
(985) 732-6610
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5100
LA
Other
Enumeration date
09/12/2008
Last updated
08/21/2023
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