Individual
LACIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10942 6TH ST, CLARKSBURG, OH 43115-7513
(740) 993-8211
Mailing address
PO BOX 241, CLARKSBURG, OH 43115-0241
(174) 099-3821
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
12/14/2023
Last updated
12/14/2023
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