Smith, Gwendolyn Marie
Smith, Gwendolyn Marie is an sole proprietor health care provider with primary practice located at 3535 Knight Ln Trlr 8 , Lake Charles LA 70605-1233. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Smith, Gwendolyn Marie can be contacted via phone (337) 986-9197.Contact Information
Primary practice address
3535 Knight Ln Trlr 8
Lake Charles LA 70605-1233
Phone: (337) 986-9197
Fax: (337) 588-4179
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 15513 | Florida |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 15235 | Louisiana |
Profile Details
| NPI number | 1366007536 |
|---|---|
| LBN Legal business name | Smith, Gwendolyn Marie |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 3rd, 2019 |
| Last updated | May 3rd, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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