Individual
MRS. CARRISSA M SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FSD
Contact information
Practice address
8 WATER ST, FREWSBURG, NY 14738-9703
(716) 338-8391
Mailing address
PO BOX 369, FREWSBURG, NY 14738-0369
(716) 338-8391
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
NY
Other
Enumeration date
10/06/2010
Last updated
08/13/2024
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