Individual
CASSY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC-T CRPA
Contact information
Practice address
1149 SULLIVAN ST, ELMIRA, NY 14901-1670
(607) 733-7661
Mailing address
1149 SULLIVAN ST, ELMIRA, NY 14901-1670
(607) 733-7661
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CRPA3693
NY
Other
Enumeration date
11/22/2021
Last updated
11/22/2021
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