Individual
REBECCA ALICE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
3975 KENNETH DR, ROOTSTOWN, OH 44272-9252
(330) 850-5141
(330) 850-5349
Mailing address
8492 SLAGLE RD, WINDHAM, OH 44288-9767
(330) 993-7115
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/25/2021
Last updated
05/25/2021
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