Paige Mallory Louise Smith

NPI #1164087524 in Kentwood, Michigan

Provider Information

NPI Number
1164087524
Entity Type
Individual
Name
Paige Mallory Louise Smith
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Enumeration Date
May 1, 2019
Last Updated
May 1, 2019

Practice Location

Address
3361 36TH ST SE
ZIP Code
49512-2809
Phone
(269) 419-1207

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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