Individual
ALLYSIA NICOLE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3923 N PENNSYLVANIA AVE, OKLAHOMA CITY, OK 73112-7566
(405) 424-0007
Mailing address
3923 N PENNSYLVANIA AVE, OKLAHOMA CITY, OK 73112-7566
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/16/2014
Last updated
05/16/2014
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