Individual
KAITLYN R SCHMUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CT
Contact information
Practice address
625 CLEVELAND AVE NW, CANTON, OH 44702-1805
(330) 455-0374
(330) 453-6716
Mailing address
625 CLEVELAND AVE NW, CANTON, OH 44702-1805
(330) 455-0374
(330) 453-6716
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C.1800959-TRNE
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C.1800959-TRNE
LICENSURE
OH
Enumeration date
05/15/2019
Last updated
05/15/2019
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