Individual
CHRISTINA RENEE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 E YOUNG ST, LONGVIEW, TX 75602-2251
(903) 381-2277
Mailing address
1301 E YOUNG ST, LONGVIEW, TX 75602-2251
(903) 803-5176
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
100896
TX
Other
Enumeration date
02/28/2022
Last updated
02/28/2022
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