Individual
LONNIE RAE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
811 NE 112TH AVE STE 106, VANCOUVER, WA 98684-5115
(360) 885-1057
Mailing address
811 NE 112TH AVE STE 106, VANCOUVER, WA 98684-5115
(360) 885-1057
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/09/2013
Last updated
09/09/2013
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