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Individual

MRS. GINA LANEECE SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCP, LMLP

Contact information

Practice address
205 E 7TH ST STE F, HAYS, KS 67601-4907
(785) 628-0550
Mailing address
205 E 7TH ST STE F, HAYS, KS 67601-4907
(785) 628-0550

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LCP 043, LMLP 0371
KS

Other

Enumeration date
11/09/2007
Last updated
09/02/2024
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