Individual
LAURA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1151 OCEAN SPRINGS RD, OCEAN SPRINGS, MS 39564-3421
(850) 607-6910
(850) 607-6932
Mailing address
3771 STEFANI RD, CANTONMENT, FL 32533-7795
(850) 607-6910
(850) 607-6932
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/30/2020
Last updated
09/30/2020
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