NPI | 1093347718 |
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Doing Business As | LAJEANS MENTAL HEALTH REHAB BOUTIQUE LLC. |
Entity Type | Organization |
Authorized Contact | DEWAN E SMITH-WILLIAMS Owner Of Entity 330-595-9929 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2020-02-11 |
Last Update Date | 2021-12-26 |