Individual
MRS. PATRICIA ANN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
385 VICTORIA HEIGHTS DR, DALLAS, GA 30132-9276
(305) 910-5062
Mailing address
385 VICTORIA HEIGHTS DR, DALLAS, GA 30132-9276
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/14/2019
Last updated
03/08/2019
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