Individual
SOFIA NATALIA SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2020 E 70TH ST STE 301, SHREVEPORT, LA 71105-5332
(318) 553-5591
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 885-8131
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16911
LA
1041C0700X
Clinical Social Worker
2018022861
MO
Other
Enumeration date
07/03/2018
Last updated
02/08/2022
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