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1184177826
RANDALL SMITH
MONROE, LA
NPI
1184177826
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2016-07-29
Last Update Date
2018-07-03
Business Address
RANDALL SMITH
2303 LAMY LN
MONROE, LA 71201
Phone number: 318-680-9188
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Mailing Address
RANDALL SMITH
2303 LAMY LN
MONROE, LA 71201-3156
Phone number: 318-680-9188
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