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Individual

CRYSTAL LYNN SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1101 VOLUNTEER PKWY STE 5-146, BRISTOL, TN 37620-4770
(855) 832-6727
Mailing address
1312 CLARK POINT RD, KINGSPORT, TN 37660-1055
(304) 767-0089

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
TN

Other

Enumeration date
06/08/2026
Last updated
06/08/2026
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