Individual
MS. PEGGY SUE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PCC
Contact information
Practice address
32760 SHADOWBROOK DR, SOLON, OH 44139-6005
(440) 655-7136
Mailing address
32760 SHADOWBROOK DR, SOLON, OH 44139-6005
(440) 655-7136
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
E. 0007897
OH
Other
Enumeration date
12/21/2010
Last updated
12/21/2010
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