Individual
ADONIS DORREL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5000 WOODLAND DR, APT 445, NEW ORLEANS, LA 70131
(504) 638-2856
Mailing address
PO BOX 689, PORT SULPHUR, LA 70083-0689
(504) 638-2856
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/27/2016
Last updated
10/27/2016
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