Individual
DANA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8555 TAFT ST, MERRILLVILLE, IN 46410-6123
(219) 769-4005
Mailing address
8555 TAFT ST, MERRILLVILLE, IN 46410-6123
(219) 769-4005
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/22/2010
Last updated
06/22/2010
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