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Individual

JAMES WILLIAM SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
QBHS

Contact information

Practice address
76 ASHWOOD DR, TIFFIN, OH 44883-1908
(419) 448-9440
Mailing address
1925 HAYES AVE, SANDUSKY, OH 44870-4737
(517) 741-9557
(517) 941-9557

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101YM0800X
OH
Enumeration date
06/04/2018
Last updated
06/04/2018
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