Individual
DEIADRA LOUISE SMIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1949 SUGARLAND DR, SHERIDAN, WY 82801-5755
(307) 751-6376
(307) 674-1825
Mailing address
1949 SUGARLAND DR, SHERIDAN, WY 82801-5755
(307) 751-6376
(307) 674-1825
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1316
WY
Other
Enumeration date
05/15/2013
Last updated
05/15/2013
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