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1871035394
EBONY JOLAN SMITH
BATON ROUGE, LA
NPI
1871035394
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2016-11-15
Last Update Date
2018-05-31
Business Address
EBONY JOLAN SMITH
8211 SUMMA AVE SUITE F
BATON ROUGE, LA 70809
Phone number: 225-761-1970
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Mailing Address
EBONY JOLAN SMITH
8211 SUMMA AVE SUITE F
BATON ROUGE, LA 70809-3471
Phone number: 225-761-1970
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