Individual
DEWANNA L SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
712 S KENYON CT, TUCSON, AZ 85710-5902
(520) 722-3396
(520) 722-1147
Mailing address
712 S KENYON CT, TUCSON, AZ 85710-5902
(520) 722-3396
(520) 722-1147
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
4051
AZ
Other
Enumeration date
10/23/2006
Last updated
07/08/2007
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