Individual
MS. ANNETTE KAY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
205 E 6TH AVE, FORT MORGAN, CO 80701
(303) 917-2104
Mailing address
205 E 6TH AVE, FORT MORGAN, CO 80701-3002
(303) 917-2104
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
970
CO
Other
Enumeration date
03/25/2008
Last updated
12/23/2009
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