Individual
BRIDGET SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
464 JAMES WAY, MARION, OH 43302-7860
(740) 751-4864
Mailing address
29892 STATE ROUTE 37, RICHWOOD, OH 43344-9307
(330) 979-2139
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
OTA.05244
OH
Other
Enumeration date
11/15/2013
Last updated
11/15/2013
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