Individual
ANDREA MONIQUE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COUNSELOR, NAC
Contact information
Practice address
1201 S PROCTOR ST, TACOMA, WA 98405-2047
(253) 396-5800
Mailing address
1201 S PROCTOR ST, TACOMA, WA 98405-2047
(253) 396-5800
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
RC00059882
WA
376K00000X
Nurse's Aide
NC10091374
WA
Other
Enumeration date
02/19/2008
Last updated
02/19/2008
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