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Individual
MRS. KAYLAN ROSE SMITH
Active
Individual
MRS. KAYLAN ROSE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C3715
OR
101YM0800X
Mental Health Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
197749
—
OR
Enumeration date
02/06/2013
Last updated
10/30/2024
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