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Individual
SONNET SHERICE SMITH
Active
Individual
SONNET SHERICE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
NULL
253J00000X
Foster Care Agency
—
NULL
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
—
NULL
311Z00000X
Custodial Care Facility
—
NULL
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
NULL
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
NULL
Other
Enumeration date
06/25/2019
Last updated
06/25/2019
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