Individual
AMANDA MICHELLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 NE 11TH ST, OKLAHOMA CITY, OK 73117-2605
(405) 230-1158
(405) 425-8336
Mailing address
1501 NE 11TH ST, OKLAHOMA CITY, OK 73117-2605
(405) 230-1158
(405) 425-8336
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OK
Other
Enumeration date
08/20/2025
Last updated
08/20/2025
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