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Individual
BRYAN WILLIAM SMITH
Active
Individual
BRYAN WILLIAM SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
87000162A
IN
106H00000X
Marriage & Family Therapist
Primary
35001696A
IN
Other
Enumeration date
03/31/2011
Last updated
04/11/2025
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