Individual
RAYMOND CLIFFORD SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ICAADAIV
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 988-4166
Mailing address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 988-4166
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
87000582A
IN
Other
Enumeration date
11/06/2013
Last updated
11/06/2013
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