Individual
ALEXANDRA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 W 4TH ST, ADA, OK 74820-3411
(580) 436-2690
(580) 436-5539
Mailing address
PO BOX 1545, ADA, OK 74821-1545
(580) 436-2690
(580) 436-5539
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/17/2024
Last updated
01/17/2024
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