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Organization
LAJEAN'S MENTAL HEALTH BOUTIQUE, LLC
Active
Organization
LAJEAN'S MENTAL HEALTH BOUTIQUE, LLC
Active
Other names
LAJEANS MENTAL REHAB HEALTH BOUTIQUE LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DEWAN E SMITH-MURRAY PMHNP-BC (OWNER OF ENTITY)
(330) 595-9929
Entity
Organization
Contact information
Practice address
3094 W MARKET ST STE 190, FAIRLAWN, OH 44333-3617
(330) 595-9929
(330) 349-5240
Mailing address
575 WOODVIEW DR, AKRON, OH 44319-1343
(330) 858-4725
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/11/2020
Last updated
03/11/2025
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