Individual
LAUREN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
695 N 6TH ST, WYTHEVILLE, VA 24382-1813
(276) 284-0638
Mailing address
695 N 6TH ST, WYTHEVILLE, VA 24382-1813
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
VA
Other
Enumeration date
09/18/2025
Last updated
09/18/2025
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