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Organization
LAJEAN'S MENTAL HEALTH BOUTIQUE, LLC
Active
Organization
LAJEAN'S MENTAL HEALTH BOUTIQUE, LLC
Active
Other names
Lajeans Mental Health Rehab Boutique LLC.
Organization subpart
No
Provider details
NPI number
Authorized official
DEWAN SMITH-WILLIAMS MSN PMHAPRN CNP-BC (PMHAPRN)
(330) 595-9929
Entity
Organization
Contact information
Practice address
10 COLUMBUS ST, BEDFORD, OH 44146-2819
(330) 595-9929
(845) 859-8649
Mailing address
575 WOODVIEW DR, AKRON, OH 44319-1343
(330) 907-1556
(845) 859-8649
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
12/27/2021
Last updated
12/27/2021
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