Stacy Smith, MSW, LISW

NPI #1386187342 in Ashtabula, Ohio

Provider Information

NPI Number: 1386187342
Entity Type: Individual
Name: Stacy Smith, MSW, LISW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: MSW, LISW
Enumeration Date: Nov 23, 2016
Last Updated: Dec 27, 2018

Practice Location

Address: 4726 MAIN AVE
City: Ashtabula
State: Ohio
ZIP Code: 44004-6929
Phone: (440) 992-8552

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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