Individual
PAMELA JEAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2508 WILSON ST, MILES CITY, MT 59301-5000
(405) 234-0234
Mailing address
2508 WILSON ST, MILES CITY, MT 59301-5000
(405) 234-0234
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1958
MT
Other
Enumeration date
09/09/2014
Last updated
09/09/2014
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