Individual
MARK A SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5109 DONOVAN DR, GARFIELD HEIGHTS, OH 44125-2053
(216) 396-7177
Mailing address
5109 DONOVAN DR, GARFIELD HEIGHTS, OH 44125-2053
(216) 396-7177
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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