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Individual
HEIDI LYNNE SMITH
Active
Individual
HEIDI LYNNE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LIMHP,
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1100
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100257453-00
—
NE
05
—
100261397-00
—
NE
05
—
470376606-31
—
NE
Enumeration date
11/12/2010
Last updated
08/23/2024
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