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1275031767
JAE SMITH
EVANSVILLE, IN
NPI
1275031767
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Other Name
MYCAH SUTTON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-01-30
Last Update Date
2018-02-20
Business Address
JAE SMITH BSW, MATS
4847 E VIRGINIA ST
EVANSVILLE, IN 47715-2611
Phone number: 866-755-4258
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Mailing Address
JAE SMITH BSW, MATS
960 E BLACKFORD AVE
EVANSVILLE, IN 47713-2278
Phone number: 812-604-6777
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