Individual
DESIREE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5900 WARM SPRINGS RD, COLUMBUS, GA 31909-4362
(850) 607-6910
(850) 607-6932
Mailing address
9900 N DAVIS HWY, PENSACOLA, FL 32514-8124
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/20/2022
Last updated
04/20/2022
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