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1578920476
SAMANTHA SMITH
SHREVEPORT, LA
NPI
1578920476
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: LA 007130449)
Enumeration Date
2016-01-22
Last Update Date
2016-01-22
Business Address
-- SAMANTHA SMITH
3772 YOUREE DR
SHREVEPORT, LA 71105-2132
Phone number: 318-670-3159
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Mailing Address
-- SAMANTHA SMITH
3772 YOUREE DR
SHREVEPORT, LA 71105-2132
Phone number:
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