NPI Profile for MIKAYLA SMITH in LAKE ELMO, MN.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Psychiatric/Mental Health, Child & Adolescent |
163WP0807X |
| NPI Number | 1336036466 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 06/20/2025 | |
| Last updated | 06/20/2025 - About 12 months ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MIKAYLA SMITH
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