Individual
CHRISTOPHER SMITHWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
625 E BROADWAY AVE, JACKSON, WY 83001-8642
(307) 733-3636
Mailing address
625 E BROADWAY AVE, JACKSON, WY 83001-8642
(307) 733-3636
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-828
WY
Other
Enumeration date
05/24/2016
Last updated
05/24/2016
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