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Individual

LAURA M. BOERNER SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
17273 STATE ROUTE 104, CHILLICOTHE VAMC MHCL 116, CHILLICOTHE, OH 45601-9718
(740) 773-1141
Mailing address
17273 STATE ROUTE 104, CHILLICOTHE VAMC MHCL 116, CHILLICOTHE, OH 45601-9718
(740) 773-1141

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071007038
IL

Other

Enumeration date
07/10/2006
Last updated
03/16/2012
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