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Individual

JOYCE LOUISE SMITH

Active
Sole proprietor

Provider details

NPI number
Gender
F

Contact information

Practice address
ONE INDIAN HILL RD, WINTERHAVEN, CA 92283
(760) 572-4216
(760) 572-4230
Mailing address
PO BOX 1368, YUMA, AZ 85366-1368
(760) 572-4216
(760) 572-4230

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1706
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
497322
AZ
Enumeration date
06/08/2006
Last updated
07/08/2007
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