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1245600915
DAPHNE SMALLWOOD-SMITH
SHREVEPORT, LA
NPI
1245600915
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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
2015-10-06
Last Update Date
2018-05-24
Business Address
DAPHNE SMALLWOOD-SMITH MA
9033 CEDAR RIDGE DR
SHREVEPORT, LA 71118
Phone number: 318-773-6864
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Mailing Address
DAPHNE SMALLWOOD-SMITH MA
9033 CEDAR RIDGE DR
SHREVEPORT, LA 71118-2324
Phone number: 318-773-6864
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