Individual
MR. PAUL W. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
3080 W 3RD ST, ELK CITY, OK 73644-4323
(580) 225-5136
Mailing address
RR 1 BOX 1020, CANUTE, OK 73626-9707
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
OK
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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