Individual
MS. IRENE ALBERTA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAC A&D
Contact information
Practice address
1302 PENNSYLVANIA AVE, CAMEO HOUSE, HAGERSTOWN, MD 21740
(240) 313-3329
(301) 790-1314
Mailing address
307 N MAIN ST, BOONSBORO, MD 21713-1011
(301) 432-8441
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
AC0257
MD
Other
Enumeration date
05/22/2008
Last updated
05/22/2008
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