Individual
DESSIA LARICE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1777 WINNERS CIR NE, CANTON, OH 44721-4110
(330) 809-8501
Mailing address
1777 WINNERS CIR NE, CANTON, OH 44721-4110
(330) 809-8501
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
OH
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
06/07/2025
Last updated
06/12/2025
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