Individual
CALLIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
408 BEDELL AVE, WOODBINE, GA 31569-3585
(912) 409-7889
Mailing address
3735 PROVIDENCE CHURCH RD, WHITE OAK, GA 31568-2870
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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