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Individual

MR. PATRICK N. SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.ED.

Contact information

Practice address
905 MONTGOMERY ST, DECORAH, IA 52101-2325
(563) 382-3649
(563) 382-8183
Mailing address
905 MONTGOMERY ST, PO BOX 349, DECORAH, IA 52101-2325
(563) 382-3649
(563) 382-8183

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
11/06/2006
Last updated
07/08/2007
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