Individual
MRS. RENEAU M SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BHT
Contact information
Practice address
553 W 9TH ST APT 2, MESA, AZ 85201-4066
(480) 735-9705
Mailing address
553 W 9TH ST APT 2, MESA, AZ 85201-4066
(480) 735-9705
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
Primary
—
AZ
Other
Enumeration date
02/27/2023
Last updated
04/18/2023
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