Individual
CAROLINE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2627 W WALNUT HILL LN, IRVING, TX 75038-7339
(469) 223-6285
Mailing address
2627 W WALNUT HILL LN, IRVING, TX 75038-7339
(469) 223-6285
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
TX
Other
Enumeration date
12/13/2008
Last updated
12/13/2008
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