CORLISEA SMITH

EDMOND, OK
NPI1306633441
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy175T00000X Peer Specialist
Additional Taxonomies106S00000X Behavior Technician
Enumeration Date2025-04-22
Last Update Date2025-07-27
Business Address
CORLISEA SMITH
820 W 15TH ST
EDMOND, OK 73013-3621
Phone number: 570-240-7271
Mailing Address
CORLISEA SMITH
820 W 15TH ST
EDMOND, OK 73013-3621
Phone number: