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Individual

MARTINA MAAIKE SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
574 COUNTY ROAD 4641, TRENTON, TX 75490-6420
(252) 722-2988
Mailing address
574 COUNTY ROAD 4641, TRENTON, TX 75490-6420
(252) 722-2988

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
889966
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00144025
BOARD CERTIFIED CASE MANAGER
NJ
Enumeration date
07/28/2016
Last updated
07/28/2016
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