Individual
ANGEL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3727 MARCONI AVE, SACRAMENTO, CA 95821-5303
(916) 485-6500
Mailing address
3727 MARCONI AVE, SACRAMENTO, CA 95821-5303
(916) 485-6500
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
6802088114
MI
Other
Enumeration date
07/08/2014
Last updated
03/08/2018
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