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Individual

DR. MARY CLARE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD, ATR-BC

Contact information

Practice address
123 22ND ST, TOLEDO, OH 43604-2706
(419) 241-6191
Mailing address
123 22ND ST, TOLEDO, OH 43604-2706
(419) 241-6191

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
0810005000
VA
103TC1900X
Counseling Psychologist
Primary
7217
OH
221700000X
Art Therapist
98-119

Other

Enumeration date
01/23/2015
Last updated
05/30/2015
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