Individual
STEPHANIE LYNN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
547 US ROUTE 4, ENFIELD, NH 03748-3201
(603) 523-4312
Mailing address
PO BOX 18, CANAAN, NH 03741-0018
(603) 523-4312
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NHL10191938
NH DRIVER LICENSE
NH
Enumeration date
01/31/2022
Last updated
01/31/2022
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