Individual
MAKAYLA NICHOLE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4710 S DIVISION ST, GUTHRIE, OK 73044-6506
(405) 282-5524
Mailing address
PO BOX 837, BROKEN BOW, OK 74728-0837
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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