Individual
MRS. VICTORIA A SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1245 W MARINE DR APT 8, ASTORIA, OR 97103-5641
(707) 623-4115
Mailing address
1245 W MARINE DR APT 8, ASTORIA, OR 97103-5641
(707) 623-4115
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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