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Individual

CRYSTA'ZSHA SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1 LILE CT STE 200, LITTLE ROCK, AR 72205-6240
(501) 663-1837
(501) 663-1839
Mailing address
1310 W MAIN ST STE 201, RUSSELLVILLE, AR 72801-2803
(479) 964-2011

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12659-M
AR

Other

Enumeration date
10/19/2023
Last updated
10/19/2023
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