Individual
ANJELENIA DEIONE SMITHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC/SLP
Contact information
Practice address
698 SHADOW RIDGE RD, PROVIDENCE, NC 27315-9128
(336) 388-0624
Mailing address
698 SHADOW RIDGE RD, PROVIDENCE, NC 27315-9128
(336) 388-0624
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202002772
VA
Other
Enumeration date
01/31/2012
Last updated
01/31/2012
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