Individual
DWAYNE EUGENE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
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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