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Individual

IBEN S SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LSW

Contact information

Practice address
3616 EAST MAIN ST, COLUMBUS, OH 43213-2913
(614) 251-0103
(614) 251-1177
Mailing address
3616 EAST MAIN STREET, COLUMBUS, OH 43213
(614) 251-0103
(614) 251-1177

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
S0000481
OHIO LICENSE
OH
Enumeration date
11/08/2017
Last updated
06/16/2018
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