Individual
AMANDA JO DEAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
515 S OSAGE AVE TRLR 9, DEWEY, OK 74029-2859
(918) 331-7757
Mailing address
515 S OSAGE AVE TRLR 9, DEWEY, OK 74029-2859
(918) 331-7757
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
07/02/2026
Last updated
07/09/2026
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