Individual
FRED A SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
70 E 91ST ST STE 109, INDIANAPOLIS, IN 46240-1550
(317) 218-4081
(317) 218-4086
Mailing address
10100 ELIDA RD, DELPHOS, OH 45833-9056
(419) 695-8010
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/16/2023
Last updated
03/16/2023
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