Carol Smith

NPI 1720453988 · on the registry since 2015 · sole proprietor

Practice

Address: 1717 Taylor Ave
Racine, WI 53403
Phone: (262) 638-6480
Organisation at this address: Racine County Ccs
Genoa Healthcare Llc
Racine County Finance Department
Racine County Human Services Department
Racine County Human Services Department
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 50

Registry record

Primary taxonomy: 101YA0400X
101YA0400X
Licence states on file: WI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2015-12-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin