DALE SMITH

SHREVEPORT, LA
NPI1538692496
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2017-04-07
Last Update Date2018-05-31
Business Address
DALE SMITH
5925 DEXTER PL
SHREVEPORT, LA 71129
Phone number: 318-286-8533
Mailing Address
DALE SMITH
5925 DEXTER PL
SHREVEPORT, LA 71129-4909
Phone number: 318-286-8533
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