Individual
ALICIA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
534 OAK ST, ARDMORE, OK 73401-1758
(580) 229-7589
Mailing address
534 OAK ST, ARDMORE, OK 73401-1758
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/05/2012
Last updated
06/05/2012
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