Individual
HALEY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10817 206TH ST E, GRAHAM, WA 98338-8841
(253) 861-3229
Mailing address
2950 ASPENWAY DR, HELENA, MT 59601-6601
(406) 249-6412
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CB61405288
WA
Other
Enumeration date
02/08/2023
Last updated
02/08/2023
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