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Individual

JOHN SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
8888 FINLEY RD, WOOSTER, OH 44691-7563
(330) 701-8955
Mailing address
8888 FINLEY RD, WOOSTER, OH 44691-7563

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C.0701084
OH

Other

Enumeration date
04/06/2016
Last updated
04/06/2016
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