Individual
JAMIE NICCOLE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
709 S ARNO ST, COALGATE, OK 74538-1616
(405) 313-2342
Mailing address
709 S ARNO ST, COALGATE, OK 74538-1616
(405) 313-2342
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/11/2018
Last updated
09/11/2018
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