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Individual
JAMES R SMITH
Active
Individual
JAMES R SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LISW
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
02512
IA
101YM0800X
Mental Health Counselor
Primary
02512
IA
101YP2500X
Professional Counselor
02512
IA
Other
Enumeration date
01/30/2007
Last updated
06/06/2013
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