Individual
MR. MAURICE ALLAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16 W LONG ST, COLUMBUS, OH 43215-2815
(614) 225-0990
Mailing address
16 W LONG ST, COLUMBUS, OH 43215-2815
(614) 225-0990
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C.1901840
OH
Other
Enumeration date
09/20/2017
Last updated
05/02/2023
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