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Individual

BROOKLYN SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1001 N GOLIAD ST STE 155, ROCKWALL, TX 75087-2505
(512) 898-9044
(512) 857-1423
Mailing address
PO BOX 151716, AUSTIN, TX 78715-1716
(512) 898-9044
(512) 857-1423

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
11/20/2023
Last updated
11/20/2023
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