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Individual

COURTNEY SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
9340 GILLETTE ST., LENEXA, KS 66215
(816) 873-5327
Mailing address
9340 GILLETTE ST., LENEXA, KS 66215

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-65265
KS

Other

Enumeration date
09/20/2018
Last updated
09/20/2018
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