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Individual

MATTHEW SMOLECKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CPRS

Contact information

Practice address
28 KLAINECREST AVE, FORT THOMAS, KY 41075-1930
(984) 837-9665
Mailing address
28 KLAINECREST AVE, FORT THOMAS, KY 41075-1930
(984) 837-9665

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
APS.006053
OH

Other

Enumeration date
05/19/2025
Last updated
05/19/2025
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