Individual
DEANNA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
721 LINCOLN WAY E, MASSILLON, OH 44646-6829
(330) 984-2502
Mailing address
4646 SOUTH BLVD NW APT 17, CANTON, OH 44718-2051
(330) 984-2502
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.181217
OH
Other
Enumeration date
12/21/2022
Last updated
12/21/2022
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