MISS Phaedra Jolene Smith, HIGH SCHOOL DIPLOMA
NPI #1427791235 in Mount Orab, Ohio
Provider Information
- NPI Number
- 1427791235
- Entity Type
- Individual
- Name
- MISS Phaedra Jolene Smith, HIGH SCHOOL DIPLOMA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Credential
- HIGH SCHOOL DIPLOMA
- Enumeration Date
- Apr 19, 2022
- Last Updated
- May 24, 2022
Practice Location
- Address
- 709 N HIGH ST
- City
- Mount Orab
- State
- Ohio
- ZIP Code
- 45154-6501
- Phone
- (937) 444-6127
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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