Individual
MRS. BRANDY ROSE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LISW-S
Contact information
Practice address
700 BROOKSEDGE BLVD, WESTERVILLE, OH 43081-2820
(740) 255-1209
Mailing address
11 HARDWOODS DR, PATASKALA, OH 43062-7002
(740) 255-1209
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I1303283
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0200375
—
OH
Enumeration date
04/30/2015
Last updated
05/01/2015
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