Individual
KATHLEEN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8000 FAIR OAKS PKWY STE 206, FAIR OAKS RANCH, TX 78015-4783
(972) 333-2034
Mailing address
7803 FAIR OAKS PKWY, FAIR OAKS RANCH, TX 78015-4576
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
84948
TX
Other
Enumeration date
01/08/2022
Last updated
01/08/2022
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