Individual
LISA MARIE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14435 N 7TH ST STE 106, PHOENIX, AZ 85022-4371
(480) 208-3683
Mailing address
14435 N 7TH ST STE 106, PHOENIX, AZ 85022-4371
(480) 208-3683
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
AZ
Other
Enumeration date
03/28/2018
Last updated
03/28/2018
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