Individual
LATOYA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4423 HARDWOOD GLEN DR, FRESNO, TX 77545-9589
(832) 216-9074
Mailing address
4423 HARDWOOD GLEN DR, FRESNO, TX 77545-9589
(832) 216-9074
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
67979
TX
Other
Enumeration date
04/23/2014
Last updated
04/23/2014
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