Individual
DETANYA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
308 BEASLEY STREET, MONROE, LA 71203
(318) 503-9306
Mailing address
850 KALISTE SALOOM RD STE 117, LAFAYETTE, LA 70508-4230
(337) 234-7109
(318) 340-1539
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/30/2015
Last updated
06/06/2018
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