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Individual

MISS CASSANDRA LAUREN SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW,CI

Contact information

Practice address
10901 PLUMEWOOD DR, AUSTIN, TX 78750-2825
(512) 825-5043
Mailing address
10901 PLUMEWOOD DR, AUSTIN, TX 78750-2825
(512) 825-5043

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16944
TX

Other

Enumeration date
12/04/2012
Last updated
12/04/2012
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