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Individual

BRYNN SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
130 CALO LN, LAKE OZARK, MO 65049-9208
(573) 746-7361
(573) 746-7303
Mailing address
5500 MING AVE STE 410, BAKERSFIELD, CA 93309-4631

Taxonomy

Speciality
Code
Description
License number
State
364SP0807X
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
Primary
2010018973
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2010018973
LICENSE
MO
Enumeration date
06/20/2025
Last updated
06/20/2025
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