Individual
CARNON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
842 MARGARET PL, SHREVEPORT, LA 71101
(318) 675-0406
(318) 675-0408
Mailing address
842 MARGARET PL, SHREVEPORT, LA 71101-4521
(318) 675-0406
(318) 675-0408
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
LA
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1103926
—
LA
Enumeration date
03/02/2016
Last updated
08/20/2018
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