Individual
LISA A SMOTHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3322 BROADWAY, EVERETT, WA 98201-4425
(425) 349-6800
Mailing address
5216 GROVE ST # B, MARYSVILLE, WA 98270-4400
(360) 386-9490
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
RC60072967
WA
Other
Enumeration date
01/27/2009
Last updated
01/27/2009
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