Individual
MRS. CHASTINA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SPLA
Contact information
Practice address
9385 W DONALD DR, PEORIA, AZ 85383-2988
(623) 910-5811
Mailing address
11275 N 99TH AVE LOT 42, PEORIA, AZ 85345-5476
(623) 910-5811
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Enumeration date
07/27/2020
Last updated
08/14/2020
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