Individual
AMANDA MARIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
323 S COURT ST, MEDINA, OH 44256-3715
(330) 331-5800
Mailing address
360 LAFAYETTE RD, MEDINA, OH 44256-2360
(419) 560-8787
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S1000475
OH
Other
Enumeration date
04/26/2018
Last updated
04/26/2018
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