Individual
DWAYNE EUGENE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
6077 FRANTZ RD, SUITE 101, DUBLIN, OH 43017-3325
(614) 264-0052
(614) 588-0305
Mailing address
6077 FRANTZ RD, SUITE 101, DUBLIN, OH 43017-3325
(614) 264-0052
(614) 588-0305
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E0001621
OH
106H00000X
Marriage & Family Therapist
F0500025
OH
Other
Enumeration date
05/17/2008
Last updated
05/17/2008
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