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1164965166
JAKE SMITH
CINCINNATI, OH
NPI
1164965166
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA.162038)
Enumeration Date
2016-11-22
Last Update Date
2016-11-22
Business Address
-- JAKE SMITH
2300 WALL ST STE F
CINCINNATI, OH 45212-2794
Phone number: 513-834-7063
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Mailing Address
-- JAKE SMITH
2300 WALL ST STE F
CINCINNATI, OH 45212-2794
Phone number: 513-834-7063
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