Individual
TERESA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 GRAVENSTEIN HWY N, SEBASTOPOL, CA 95472-2607
(707) 823-7300
Mailing address
1340 TROMBETTA ST, SANTA ROSA, CA 95407-8911
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
—
—
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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