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1427583707
SUSAN SMITH
CANTON, OH
NPI
1427583707
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA.163512)
Enumeration Date
2017-04-25
Last Update Date
2017-04-25
Business Address
-- SUSAN SMITH
1341 MARKET AVE N
CANTON, OH 44714-2605
Phone number: 330-453-8252
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Mailing Address
-- SUSAN SMITH
625 CLEVELAND AVE NW
CANTON, OH 44702-1805
Phone number: 330-453-8252
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