Individual
MRS. EVANGELINE WASHINGTON SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
421 23RD AVE E, TUSCALOOSA, AL 35404-3039
(205) 553-5801
Mailing address
1011 MALLARD CIR, TUSCALOOSA, AL 35405-6772
(205) 391-4737
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
AL
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
10/03/2008
Last updated
10/03/2008
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