JACK SMITH

MONROE, LA
NPI1760183867
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2023-03-15
Last Update Date2023-03-15
Business Address
JACK SMITH
4308 S GRAND ST
MONROE, LA 71202-6322
Phone number: 603-988-7679
Mailing Address
JACK SMITH
4308 S GRAND ST
MONROE, LA 71202-6322
Phone number:
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