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1225551245
WANDA ELAINE SMITH
SHREVEPORT, LA
NPI
1225551245
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2017-07-21
Last Update Date
2022-07-21
Business Address
WANDA ELAINE SMITH
3007 KNIGHT ST. SUITE 200
SHREVEPORT, LA 71105
Phone number: 318-221-8244
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Mailing Address
WANDA ELAINE SMITH
3007 KNIGHT ST STE 200
SHREVEPORT, LA 71105-2525
Phone number: 318-221-8244
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