Individual
MRS. KELLY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
618 HAMAKER RD, MANHEIM, PA 17545-9134
(717) 519-9740
Mailing address
618 HAMAKER RD, MANHEIM, PA 17545-9134
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
06610965
PA
103K00000X
Behavior Analyst
Primary
BH000913
PA
Other
Enumeration date
05/06/2014
Last updated
05/06/2014
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