CAROL ALICE SMITH

RACINE, WI
NPI1720453988
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  16026-131)
Enumeration Date2015-12-14
Last Update Date2015-12-14
Business Address
Ms. CAROL ALICE SMITH
1717 TAYLOR AVE
RACINE, WI 53403-2405
Phone number: 262-638-6480
Mailing Address
Ms. CAROL ALICE SMITH
1717 TAYLOR AVE
RACINE, WI 53403-2405
Phone number: 262-638-6480
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