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Individual

ANGEL JEAN SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CDCA

Contact information

Practice address
1354 JACKSON PIKE, GALLIPOLIS, OH 45631-2601
(740) 441-9800
(740) 441-9400
Mailing address
1354 JACKSON PIKE, GALLIPOLIS, OH 45631-2601
(740) 441-9800
(740) 441-9400

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
172389
OH

Other

Enumeration date
12/30/2019
Last updated
12/30/2019
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