Individual
DALE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
36578 TOWNSHIP ROAD 131, WARSAW, OH 43844-9544
(740) 294-8963
Mailing address
36578 TOWNSHIP ROAD 131, WARSAW, OH 43844
(740) 294-8963
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
1601672
OH
Other
Enumeration date
02/13/2017
Last updated
02/13/2017
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