Individual
JENNIFER LYNN SMITH-WANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1421 NW 165TH CT, EDMOND, OK 73012-7089
(405) 285-7622
(405) 285-7622
Mailing address
PO BOX 5514, EDMOND, OK 73083-5514
(405) 285-7622
(405) 285-7622
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/31/2021
Last updated
08/31/2021
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