Individual
ELIZABETH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 E 10TH ST, ATLANTIC, IA 50022-1935
(712) 243-2606
(712) 243-2688
Mailing address
1500 E 10TH ST, ATLANTIC, IA 50022-1935
(712) 243-2606
(712) 243-2688
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
075151
IA
Other
Enumeration date
10/01/2014
Last updated
10/01/2014
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