Individual
ANNE BONNETTE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22001 FAIRMOUNT BLVD, CLEVELAND, OH 44118-4819
(216) 320-8639
Mailing address
2384 EUCLID HEIGHTS BLVD, APT 401, CLEVELAND HEIGHTS, OH 44106-2758
(330) 412-4655
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
S 1600310
OH
104100000X
Social Worker
S.1400112-TRNE
OH
1041C0700X
Clinical Social Worker
Primary
S 1600310
OH
Other
Enumeration date
09/14/2015
Last updated
06/14/2016
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