Individual
ANGELA L SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3301 N BALLARD RD STE B, APPLETON, WI 54911-9002
(920) 733-4443
(920) 733-4796
Mailing address
3301 N BALLARD RD STE B, APPLETON, WI 54911-9002
(920) 733-4443
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
19506-130
WI
Other
Enumeration date
09/22/2021
Last updated
09/22/2021
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