Individual
CAREY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 E. WILSON, TISHOMINGO, OK 73460
(580) 371-3019
(580) 371-0138
Mailing address
200 E. WILSON, TISHOMINGO, OK 73460
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101YM0800X
—
OK
Enumeration date
06/18/2009
Last updated
06/18/2009
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