Individual
BETTY S SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SWA
Contact information
Practice address
118 MAPLE AVE, BELLEFONTAINE, OH 43311-0670
(937) 599-1975
(937) 599-2769
Mailing address
PO BOX 817, 1521 N DETROIT ST, WEST LIBERTY, OH 43357-0817
(937) 465-8065
(937) 465-0442
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/22/2008
Last updated
07/22/2008
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