Individual
EMILY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MACCCSLP
Contact information
Practice address
111 MARTHA AVE, DOTHAN, AL 36303-3815
(334) 803-6455
Mailing address
111 MARTHA AVE, DOTHAN, AL 36303-3815
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2191
AL
Other
Enumeration date
11/23/2015
Last updated
11/23/2015
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