Individual
ALLIE JO SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 N FULTON AVE, EVANSVILLE, IN 47710-1034
(812) 287-8561
Mailing address
9740 BLYTH DR, EVANSVILLE, IN 47725-8997
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-70281
IN
Other
Enumeration date
01/04/2024
Last updated
01/04/2024
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