Individual
DR. ELEANOR VALERIE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2839 CAPE CORAL PKWY W, CAPE CORAL, FL 33914-6044
(239) 826-1457
(239) 540-7292
Mailing address
2839 CAPE CORAL PKWY W, CAPE CORAL, FL 33914-6044
(239) 826-1457
(239) 540-7292
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
146N00000X
Basic Emergency Medical Technician
EMT536553
FL
174400000X
Specialist
—
—
Other
Enumeration date
02/04/2012
Last updated
02/04/2012
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