Individual
WILTHELLA C SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4415 N 60TH AVE, OMAHA, NE 68104-2714
(402) 403-7672
Mailing address
4415 N 60TH AVE, OMAHA, NE 68104-2714
(402) 403-7672
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/03/2025
Last updated
06/03/2025
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