Individual
CAROL R SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 S WILLIAMS ST, ANAMOSA, IA 52205-1839
(319) 462-4327
Mailing address
110 S WILLIAMS ST, ANAMOSA, IA 52205-1839
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/19/2024
Last updated
12/19/2024
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