Individual
DEMETRA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6001 WOODLAND AVE, CLEVELAND, OH 44104-2762
(440) 317-2507
Mailing address
10823 OLIVET AVE, CLEVELAND, OH 44108-3527
(440) 317-2507
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/14/2022
Last updated
12/14/2022
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