Individual
TONIA RENEE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
309 ROGERS AVE, POTEAU, OK 74953-4227
(918) 653-2543
Mailing address
309 ROGERS AVE, POTEAU, OK 74953-4227
(918) 653-2543
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
7581
OK
Other
Enumeration date
12/05/2016
Last updated
12/27/2024
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