Individual
BRADLEY S. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISW-S
Contact information
Practice address
25 N CANFIELD NILES RD, AUSTINTOWN, OH 44515-2328
(330) 797-8800
Mailing address
675 ANGILINE DR, YOUNGSTOWN, OH 44512-6573
(330) 507-5867
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
I.1200362-SUPV
OH
1041C0700X
Clinical Social Worker
Primary
I.1200362-SUPV
OH
Other
Enumeration date
06/03/2015
Last updated
06/03/2015
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