Organization
AGNES SMITH AND ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AGNES M. SMITH L.I.S.W. (OWNER)
(216) 921-4344
Entity
Organization
Contact information
Practice address
20600 CHAGRIN BLVD, SUITE 440, CLEVELAND, OH 44122-5327
(216) 921-4344
(216) 932-0818
Mailing address
20600 CHAGRIN BLVD, SUITE 440, CLEVELAND, OH 44122-5327
(216) 921-4344
(216) 932-0818
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I3608
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AG9282031
MEDICARE GROUP NUMBER
OH
Enumeration date
01/17/2008
Last updated
01/17/2008
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