Provider Information for 1003121765
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MELISSA BETH SMART LPC
Sex: Female
NPI: 1003121765
Last Updated: 2023-10-12
Certification Date: 2023-10-12
Certification Date: 2023-10-12
Details
| Name | Value | ||||||||
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| NPI | 1003121765 | ||||||||
| Enumeration Date | 2010-08-18 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1330 INVERNESS DR STE 400 COLORADO SPRINGS, CO 80910-3739 United States Phone: | Fax: | ||||||||
| Primary Practice Address | 1330 INVERNESS DR STE 400 COLORADO SPRINGS, CO 80910-3739 United States Phone: 970-310-3406 | Fax: | ||||||||
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