Therese M Smith MAED- LISAC

NPI 1093986895 - Counselor - 101YA0400X

NPI Details
NPI 1093986895
Gender Female
Enumeration Date 03/19/2008
Last Updated 03/19/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
4129 E VAN BUREN ST
PHOENIX AZ, 85008-6939, US
Phone (602) 269-5331
Fax (602) 269-5331
Business Location
4129 E VAN BUREN ST
PHOENIX AZ, 85008-6939, US
Phone (602) 269-5331
Fax (602) 269-5331
Toxanomy
Taxonomy Code 101YA0400X
License State Arizona
License Number LISAC-10977
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According to our database, Ms. Therese M Smith MAED- LISAC NPI is 1093986895, taxonomy code is 101YA0400X and license number is LISAC-10977, license state is located at Arizona. Therese M Smith MAED- LISAC physically located at 4129 E Van Buren St, Phoenix AZ, 85008-6939. NPI Number Therese M Smith MAED- LISAC has the Individual type.

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1093986895 NPI number is provided on an as is basis without warranty of any kind. 1093986895 is maintained by the National Plan & Provider Enumeration System. The contents of Therese M Smith MAED- LISAC are for informational purposes only.