Individual
BRANDY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHS
Contact information
Practice address
1307 WILLIAMSTOWN PIKE, WILLIAMSTOWN, WV 26187-8168
(304) 834-4619
Mailing address
1307 WILLIAMSTOWN PIKE, WILLIAMSTOWN, WV 26187-8168
(304) 834-4619
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
11/13/2018
Last updated
07/01/2021
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