Individual
MONTI JO SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
408 S 17TH ST, CLINTON, OK 73601-4236
(405) 323-0312
Mailing address
101 E UNIVERSITY DR APT D7, WEATHERFORD, OK 73096-2027
(580) 330-1566
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/10/2008
Last updated
03/10/2008
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