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Individual
JANEEN SMITH
Active
Individual
JANEEN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
SA 14079
FL
235Z00000X
Speech-Language Pathologist
Primary
SA 14079
FL
251E00000X
Home Health Agency
SA 14079
FL
252Y00000X
Early Intervention Provider Agency
SA 14079
FL
253J00000X
Foster Care Agency
SA 14079
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016151000
—
FL
Enumeration date
10/30/2015
Last updated
06/23/2016
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