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Individual

ALONZO V SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
732 BECKMAN ST, DAYTON, OH 45410-2165
(937) 253-1680
Mailing address
465 W GRAND AVE APT 701, DAYTON, OH 45405-4726
(937) 815-3741

Taxonomy

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

Other

Enumeration date
01/23/2019
Last updated
01/23/2019
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