Individual
EMILY NICOLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1116 N MAIN ST STE M12, ALTUS, OK 73521-3149
(580) 379-0677
Mailing address
211 E MAIN ST, CORDELL, OK 73632-4825
(580) 280-1988
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/17/2023
Last updated
03/17/2023
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