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1932574969
JENNIFER SMITH MAXIE
SHREVEPORT, LA
NPI
1932574969
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: LA 5556)
Enumeration Date
2015-12-02
Last Update Date
2023-10-20
Business Address
JENNIFER SMITH MAXIE LPC
2920 KNIGHT ST STE 155
SHREVEPORT, LA 71105-2412
Phone number: 318-213-1804
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Mailing Address
JENNIFER SMITH MAXIE LPC
177 SMITH RD
FRIERSON, LA 71027-1925
Phone number: 318-286-7958
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