Individual
MRS. DEBBIE LYNN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15005 W PIANA TRL, SURPRISE, AZ 85374-4454
(623) 466-9091
Mailing address
15005 W. PIANA TRAIL, SURPRISE, AZ 85374
(623) 466-9091
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
1955375
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1955375
LICENSE NUMBER
AZ
Enumeration date
03/15/2010
Last updated
03/15/2010
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