Individual
MANDY D. SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
281 LACLAIR ST, COOS BAY, OR 97420-2988
(541) 266-6700
(541) 888-8726
Mailing address
281 LACLAIR ST, COOS BAY, OR 97420-2988
(541) 266-6700
(541) 888-8726
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/19/2025
Last updated
04/19/2025
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