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Individual

AMBER SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
25604 HIGHWAY 112, CAMERON, OK 74932-2612
(479) 357-5140
Mailing address
25604 HIGHWAY 112, CAMERON, OK 74932-2612

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
26-539282

Other

Enumeration date
05/21/2026
Last updated
05/21/2026
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