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Individual

SARAH SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1301 KIOWA ST, ARDMORE, OK 73401-2280
(580) 670-3117
Mailing address
100 N MARVIN DR APT 4B, DAVIS, OK 73030-9496
(580) 630-7184

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
08/29/2022
Last updated
10/12/2023
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