Individual
JAIME SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
56 BUCK LN, POUGHKEEPSIE, AR 72569-9150
(870) 994-3103
Mailing address
56 BUCK LN, POUGHKEEPSIE, AR 72569-9150
(870) 994-3103
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
11/12/2015
Last updated
11/12/2015
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