Individual
GEORGE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LISW
Contact information
Practice address
14900 DETROIT AVE STE 207, LAKEWOOD, OH 44107-3922
(216) 245-9541
Mailing address
2074 LARK ST, LAKEWOOD, OH 44107-5239
(757) 639-7815
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
I.2405511
OH
Other
Enumeration date
09/30/2016
Last updated
06/24/2024
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