Individual
ANGILENE DAWN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
157 S HOWARD ST, SPOKANE, WA 99201-4422
(800) 781-5536
Mailing address
5716 N A ST, SPOKANE, WA 99205-7206
(509) 723-8460
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-96962
WA
Other
Enumeration date
09/12/2019
Last updated
09/12/2019
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