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Individual

ANGELA D. SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MHPP, MS

Contact information

Practice address
1021 E POPLAR ST, CLARKSVILLE, AR 72830-4428
(479) 970-3694
Mailing address
140 MARIWOOD LN, DOVER, AR 72837-8187
(479) 970-9421

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
11/04/2013
Last updated
11/04/2013
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