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1124523378
SHAWANDA SMITH
BASTROP, LA
NPI
1124523378
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2018-03-29
Last Update Date
2018-03-29
Business Address
SHAWANDA SMITH
644 E JEFFERSON AVE
BASTROP, LA 71220-4619
Phone number: 318-239-3862
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Mailing Address
SHAWANDA SMITH
644 E JEFFERSON AVE
BASTROP, LA 71220-4619
Phone number: 318-239-3862
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