Individual
YAVON N SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
700 W CENTER ST, DUNCANVILLE, TX 75116-4532
(323) 253-2766
Mailing address
700 W CENTER ST, DUNCANVILLE, TX 75116-4532
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PWA-4575791
GA
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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