Provider Information for 1437998689
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Mrs. MARLENE M SMITH LPC
Sex: Female
NPI: 1437998689
Last Updated: 2024-05-20
Certification Date: 2024-05-20
Certification Date: 2024-05-20
Details
| Name | Value | ||||||||
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| NPI | 1437998689 | ||||||||
| Enumeration Date | 2024-05-20 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 42 ROSEBERRY DR SCOTT DEPOT, WV 25560-7668 United States Phone: 304-549-4597 | Fax: | ||||||||
| Primary Practice Address | 42 ROSEBERRY DR SCOTT DEPOT, WV 25560-7668 United States Phone: 304-549-4597 | Fax: | ||||||||
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