Individual
MARISSA LEIGH SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
408 W 6TH ST, LARNED, KS 67550-3027
(620) 804-2383
Mailing address
6214 24TH AVE, BROOKLYN, NY 11204-3319
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/28/2023
Last updated
04/28/2023
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