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Individual

MRS. DOLORES INEZ SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SLPA

Contact information

Practice address
100 SCHOOL DR, HUACHUCA CITY, AZ 85638
(520) 456-9842
(520) 456-9811
Mailing address
PO BOX 1000, TOMBSTONE, AZ 85638
(520) 457-2217
(520) 457-3270

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary

Other

Enumeration date
09/07/2007
Last updated
09/07/2007
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