Individual
PATRICIA ANN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 RIDGE MANOR DR, LAKE WALES, FL 33853-5014
(863) 676-2144
(863) 676-2144
Mailing address
200 RIDGE MANOR DR, LAKE WALES, FL 33853-5014
(863) 676-2144
(863) 676-2144
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
—
Other
Enumeration date
04/25/2008
Last updated
04/25/2008
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