Individual
MS. DEBRA ANN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
1100 W 21ST, CLOVIS, NM 88101
(505) 769-2345
(505) 769-8974
Mailing address
2309 GIDDING ST, CLOVIS, NM 88101
(505) 769-7721
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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