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1043787971
AUTUMN LEE SMITH
GREENTOWN, IN
NPI
1043787971
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2018-10-29
Last Update Date
2018-10-29
Business Address
MS. AUTUMN LEE SMITH
9909 E 100 S
GREENTOWN, IN 46936-9163
Phone number: 765-628-0605
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Mailing Address
MS. AUTUMN LEE SMITH
6944 LILAC RD
PLYMOUTH, IN 46563-9504
Phone number: 574-952-5273
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