Individual
ELIZABETH GAYLYN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
22 N 8TH ST, COTTAGE GROVE, OR 97424-2025
(541) 543-7550
Mailing address
37155 ROW RIVER RD, DORENA, OR 97434-9704
(541) 543-7550
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
08/11/2023
Last updated
08/11/2023
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