Individual
MERCEDES SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ECDS, DT
Contact information
Practice address
1310 BRADLEY DR, MOUNTAIN HOME, AR 72653-2730
(870) 424-4021
Mailing address
PO BOX 2533, MOUNTAIN HOME, AR 72654-2533
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
11/17/2009
Last updated
11/25/2019
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