BRENT SMITH

SHREVEPORT, LA
NPI1467903641
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2016-10-21
Last Update Date2016-10-21
Business Address
-- BRENT SMITH
872 FLOURNOY LUCAS RD
SHREVEPORT, LA 71118-4133
Phone number: 318-834-5724
Mailing Address
-- BRENT SMITH
872 FLOURNOY LUCAS RD
SHREVEPORT, LA 71118-4133
Phone number:
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