Individual
CHANTEL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
205 RIVIERA DR, CONCORD, VA 24538-2251
(434) 509-2063
Mailing address
1608 GRAVES MILL RD, LYNCHBURG, VA 24502-4329
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/06/2024
Last updated
11/26/2024
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