Individual
MISS ALTRAVEISE MELVINA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
380 SW 12TH AVE, POMPANO BEACH, FL 33069-3502
(954) 782-9774
(954) 782-3843
Mailing address
380 SW 12TH AVE, POMPANO BEACH, FL 33069-3502
(954) 782-9774
(954) 782-3843
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/24/2018
Last updated
04/24/2018
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