Individual
TERESA LYNN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
536 LOCUST ST, LAWRENCE, KS 66044-5442
(785) 393-0512
Mailing address
1471 E 2400TH RD, EUDORA, KS 66025-9287
(785) 393-0512
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
02/20/2020
Last updated
02/20/2020
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