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Individual

ALYSIA SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
950 28TH AVE SW STE 2, ALTOONA, IA 50009-3940
(515) 446-2075
Mailing address
3927 UNIVERSITY AVE, DES MOINES, IA 50311-3548
(515) 419-9528

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
09/12/2024
Last updated
09/12/2024
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