Individual
ANDRIA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
3401 CRANBERRY BLVD, WESTON, WI 54476-5217
(715) 393-2000
Mailing address
3401 CRANBERRY BLVD, WESTON, WI 54476-5217
(715) 393-2000
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4059-154
WI
Other
Enumeration date
12/01/2015
Last updated
12/01/2015
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