Individual
MEGAN KAY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10070 N LIMA CENTER RD, WHITEWATER, WI 53190-3224
(920) 220-1427
Mailing address
10070 N LIMA CENTER RD, WHITEWATER, WI 53190-3224
(920) 220-1427
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
WI
Other
Enumeration date
09/02/2024
Last updated
09/02/2024
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