Individual
AMBER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-S
Contact information
Practice address
6140 S BROADWAY, LORAIN, OH 44053-3821
(440) 233-7232
Mailing address
130 ERIE ST, ELYRIA, OH 44035-4906
(440) 387-9310
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.1700517
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0247208
—
OH
Enumeration date
08/31/2017
Last updated
12/28/2018
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