Individual
MS. LAURA L. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, OTR/L
Contact information
Practice address
6330 W THUNDERBIRD RD, GLENDALE, AZ 85306-4002
(623) 486-6000
Mailing address
6330 W THUNDERBIRD RD, GLENDALE, AZ 85306-4002
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
13546
AZ
225X00000X
Occupational Therapist
Primary
0636
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
623258
—
AZ
Enumeration date
03/07/2007
Last updated
07/24/2013
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