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Individual

KIMBERLY ERIN SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
829 CHIEF EDDIE HOFFMAN HIGHWAY, BETHEL, AK 99559
(907) 543-6100
Mailing address
PO BOX 52148, AKIAK, AK 99552-0148
(907) 765-7393

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
MH0150
AK
Enumeration date
05/24/2013
Last updated
05/24/2013
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