Individual
TAMARA D SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
202 OAK ST, ADVANCE, IN 46102
(765) 586-1576
Mailing address
PO BOX 246, ADVANCE, IN 46102-0246
(765) 586-1576
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
10/15/2019
Last updated
10/15/2019
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