Individual
HOLLY ANNE SMART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LP, ATR
Contact information
Practice address
366 PRIOR AVE N, SUITE 202, SAINT PAUL, MN 55104-5165
(651) 645-1914
Mailing address
366 PRIOR AVE N, SUITE 202, SAINT PAUL, MN 55104-5165
(651) 645-1914
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP0969
MN
Other
Enumeration date
09/21/2006
Last updated
07/08/2007
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