Individual
JEFFREY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
99 ROYAL VISTA DR UNIT 408, BRANSON, MO 65616-6237
(417) 274-9471
Mailing address
99 ROYAL VISTA DR UNIT 408, BRANSON, MO 65616-6237
(417) 274-9471
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/06/2016
Last updated
09/06/2016
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