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1184334054
AUDRA SMALLWOOD
WYOMISSING, PA
NPI
1184334054
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Former Name
AUDRA BECK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-12-01
Last Update Date
2023-09-29
Business Address
AUDRA SMALLWOOD MS, LBS
200 SPRING RIDGE DR STE 103
WYOMISSING, PA 19610-3334
Phone number: 610-927-6593
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Mailing Address
AUDRA SMALLWOOD MS, LBS
200 SPRING RIDGE DR STE 103
WYOMISSING, PA 19610-3334
Phone number: 610-927-6593
Copy
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