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1639678659
DWANA R SMOTHERS
SLIDELL, LA
NPI
1639678659
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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
2018-02-05
Last Update Date
2018-05-14
Business Address
DWANA R SMOTHERS
58305 JEFFERSON AVE
SLIDELL, LA 70460
Phone number: 504-258-3323
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Mailing Address
DWANA R SMOTHERS
58305 JEFFERSON AVE
SLIDELL, LA 70460-3814
Phone number:
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