Individual
TEDDI LEIGH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
3027 WASHINGTON BLVD, HUNTINGTON, WV 25705-1632
(304) 948-6903
Mailing address
PO BOX 44, BARBOURSVILLE, WV 25504-0044
(304) 948-6903
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
WV
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639745474
—
WV
Enumeration date
08/12/2021
Last updated
08/04/2022
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