Individual
ANTOINE TERRELL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
616 OLD BUGLE RD, EDMOND, OK 73003-6280
(405) 210-9557
Mailing address
616 OLD BUGLE RD, EDMOND, OK 73003-6280
(405) 210-9557
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/29/2009
Last updated
07/29/2009
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