Individual
KERI A SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5671 BREEZEHILL RD SW, EAST SPARTA, OH 44626-9405
(330) 495-0791
Mailing address
5671 BREEZEHILL RD SW, EAST SPARTA, OH 44626-9405
(330) 495-0791
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/18/2020
Last updated
06/18/2020
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