Individual
OCTAVIA LEAH SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1318 W OAK ST, KISSIMMEE, FL 34741-4009
(321) 206-6560
Mailing address
2840 CYPRESS GROVE CT, SAINT CLOUD, FL 34772-7207
(407) 399-2553
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
FL
Other
Enumeration date
07/07/2014
Last updated
07/07/2014
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