Individual
AMY JO SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11 GRAHAM DR, ATHENS, OH 45701-1430
(740) 594-6807
Mailing address
8148 CHASE RD, ALBANY, OH 45710-8847
(740) 590-8717
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
S1000229
OH
Other
Enumeration date
04/09/2013
Last updated
04/09/2013
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