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Individual

JAMIE L SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCDC 3

Contact information

Practice address
1433 5TH ST NW, NEW PHILADELPHIA, OH 44663-1223
(440) 260-8300
Mailing address
434 EASTLAND RD, BEREA, OH 44017-1217
(440) 234-2006

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LCDCIII.954275
OH

Other

Enumeration date
06/04/2018
Last updated
06/04/2018
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