| NPI | 1346019635 |
|---|---|
| Doing Business As | AWANNA SMITH |
| Entity Type | Organization |
| Authorized Contact | AWANNA L SMITH Owner 870-243-1382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2023-12-27 |
| Last Update Date | 2023-12-27 |