Individual
MADISON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
615 GARFIELD ST, EMPORIA, KS 66801-2420
(405) 800-4538
Mailing address
615 GARFIELD ST, EMPORIA, KS 66801-2420
(405) 800-4538
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
KS
Other
Enumeration date
07/27/2023
Last updated
07/27/2023
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