Individual
BRITTANI LEE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1127 N KICKAPOO AVE, SHAWNEE, OK 74801-4845
(405) 214-0116
Mailing address
PO BOX 4, HOLDENVILLE, OK 74848-0004
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
OK
Other
Enumeration date
12/11/2019
Last updated
12/11/2019
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