Individual
ANGELA LADAWN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-A
Contact information
Practice address
1420 TWIN OAKS ST, WICHITA FALLS, TX 76302-2723
(940) 696-0181
Mailing address
PO BOX 242, PETROLIA, TX 76377-0242
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
86047
TX
Other
Enumeration date
07/28/2021
Last updated
07/28/2021
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