Mary Ellen Smith, LMT
NPI #1194963629 in Gassaway, West Virginia
Provider Information
- NPI Number
- 1194963629
- Entity Type
- Individual
- Name
- Mary Ellen Smith, LMT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Community Health Worker
- Credential
- LMT
- Enumeration Date
- Jan 21, 2009
- Last Updated
- Jan 11, 2011
Practice Location
- Address
- 847 STATE ST
- City
- Gassaway
- State
- West Virginia
- ZIP Code
- 26624-9303
- Phone
- (304) 364-8113
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Health Worker |
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