Individual
MOLLY ANN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
112 N 3RD ST, LEESVILLE, LA 71446-4014
(337) 239-3334
Mailing address
112 N 3RD ST, LEESVILLE, LA 71446-4014
(337) 239-3334
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
L-474
LA
Other
Enumeration date
08/17/2020
Last updated
08/17/2020
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