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Individual

KIMBERLY LATRICE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
373 S WILLOW ST, MANCHESTER, NH 03103-5751
(877) 315-8080
Mailing address
1321 MURFREESBORO PIKE STE 410, NASHVILLE, TN 37217-2665
(615) 361-4000

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
10/04/2022
Last updated
06/02/2025
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