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1053932111
THEODORE L SMITH
CLEVELAND, OH
NPI
1053932111
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-04-29
Last Update Date
2021-11-04
Business Address
THEODORE L SMITH
1744 PAYNE AVE
CLEVELAND, OH 44114-2910
Phone number: 216-623-6555
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Mailing Address
THEODORE L SMITH
1744 PAYNE AVE
CLEVELAND, OH 44114-2910
Phone number: 216-623-6555
Copy
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