Individual
ERNEST GARNARK SMITH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2483 15TH ST NW STE A, NEW BRIGHTON, MN 55112-5604
(612) 756-9107
Mailing address
3849 ORCHID LN N, PLYMOUTH, MN 55446-3232
(901) 608-0131
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/25/2023
Last updated
10/25/2023
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