Individual
DAWN MARCIA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PEER SUPPORT TECH 2
Contact information
Practice address
18646 OXNARD ST, TARZANA, CA 91356-1486
(818) 996-1051
Mailing address
5711 COLUMBIA WAY SPC 166, QUARTZ HILL, CA 93536-3189
(661) 557-3032
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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