Individual
DAVID SMARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
325 6TH AVE, SOUTH CHARLESTON, WV 25303-1231
(304) 720-3383
Mailing address
325 6TH AVE, SOUTH CHARLESTON, WV 25303-1231
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-201287
WV
Other
Enumeration date
07/28/2022
Last updated
07/28/2022
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