JOHNTAE SMOOT

DAYTON, OH
NPI1497375661
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2020-04-17
Last Update Date2020-04-17
Business Address
JOHNTAE SMOOT
4124 LINDEN AVE
DAYTON, OH 45432-3018
Phone number: 937-522-0961
Mailing Address
JOHNTAE SMOOT
4124 LINDEN AVE
DAYTON, OH 45432-3018
Phone number:
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