Individual
DIANA ELAINE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 HOSPITAL DR, DOVER, OH 44622-2058
(330) 343-8188
Mailing address
912 W 1ST ST, UHRICHSVILLE, OH 44683-2208
(330) 447-6569
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
11/24/2021
Last updated
12/08/2023
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