WAYMON GLEN SMITH

COLUMBIA, LA
NPI1275804494
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA  RAC# 1371)
Enumeration Date2012-01-19
Last Update Date2012-01-19
Business Address
-- WAYMON GLEN SMITH RAC
5159 HIGHWAY 4 E
COLUMBIA, LA 71418-3580
Phone number: 318-649-3625
Mailing Address
-- WAYMON GLEN SMITH RAC
5159 HIGHWAY 4 E
COLUMBIA, LA 71418-3580
Phone number: 318-649-3625
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