Individual
MRS. CHRISTIE JEAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
29 RAINTREE ST, PONCA CITY, OK 74604-5414
(580) 716-8975
(580) 762-0631
Mailing address
29 RAINTREE ST, PONCA CITY, OK 74604-5414
(580) 716-8975
(580) 762-0631
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R0092291
OK
Other
Enumeration date
08/15/2016
Last updated
08/15/2016
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