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Individual

MRS. AMY LYNN SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
B.S.

Contact information

Practice address
37875 JASPER LOWELL RD, JASPER, OR 97438-9751
(541) 747-1235
(541) 747-4722
Mailing address
37875 JASPER LOWELL RD, JASPER, OR 97438-9751
(541) 747-1235
(541) 747-4722

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
01/09/2010
Last updated
01/09/2010
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