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1093200594
TERRANCE ANTHONY SMITH
MORAINE, OH
NPI
1093200594
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 167554)
Enumeration Date
2018-06-27
Last Update Date
2018-06-27
Business Address
TERRANCE ANTHONY SMITH
200 DARUMA PKWY
MORAINE, OH 45439-7909
Phone number: 937-262-3515
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Mailing Address
TERRANCE ANTHONY SMITH
2215 ARLENE AVE
DAYTON, OH 45406-2342
Phone number: 937-312-5266
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