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Individual

ELIZABETH ASHLEY SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L, C/NDT

Contact information

Practice address
3975 OLD REDWOOD HWY, SANTA ROSA, CA 95403-1719
(707) 571-4044
Mailing address
2411 CREEKSIDE RD, SANTA ROSA, CA 95405-8026
(408) 899-7142

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
08/20/2012
Last updated
02/11/2022
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