Individual
ANNETTE LOUISE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS, SAC-IT
Contact information
Practice address
2500 HALL AVE STE A, MARINETTE, WI 54143-1656
(715) 732-7760
(715) 732-7711
Mailing address
2500 HALL AVE STE A, MARINETTE, WI 54143-1656
(715) 732-7760
(715) 732-7711
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16658-130
WI
Other
Enumeration date
09/05/2012
Last updated
09/05/2012
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