Individual
TIA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4405 NORMAL BLVD, LINCOLN, NE 68506-5551
(402) 770-4582
Mailing address
151 N 8TH ST STE 350, LINCOLN, NE 68508-1429
(402) 770-4582
(531) 500-5851
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
05/07/2024
Last updated
05/07/2024
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