Individual
AMBER MARIE SMOOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1033 LARCHWOOD RD, MANSFIELD, OH 44907-2424
(419) 747-4122
Mailing address
1371 SILVER LN, MANSFIELD, OH 44906-2440
(567) 307-5404
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/18/2024
Last updated
04/18/2024
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