Individual
MS. CONNIE LOU SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
604 4TH ST, RISING SUN, IN 47040-1009
(812) 438-3610
(812) 438-4590
Mailing address
604 4TH ST, RISING SUN, IN 47040-1009
(812) 438-3610
(812) 438-4590
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/09/2009
Last updated
03/09/2009
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