Theresa Maria Smith LISW

NPI 1053449827 - Social Worker - 1041C0700X

NPI Details
NPI 1053449827
Gender Female
Enumeration Date 03/01/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
202 E BAGLEY RD
BEREA OH, 44017-2058, US
Phone (440) 260-8303
Fax
Business Location
32066 HANDFORD BLVD
AVON LAKE OH, 44012-2936, US
Phone (440) 933-3123
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Ohio
License Number I. 0004342
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According to our database, Mrs. Theresa Maria Smith LISW NPI is 1053449827, taxonomy code is 1041C0700X and license number is I. 0004342, license state is located at Ohio. Theresa Maria Smith LISW physically located at 202 E Bagley Rd, Berea OH, 44017-2058. NPI Number Theresa Maria Smith LISW has the Individual type.

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1053449827 NPI number is provided on an as is basis without warranty of any kind. 1053449827 is maintained by the National Plan & Provider Enumeration System. The contents of Theresa Maria Smith LISW are for informational purposes only.