ETHAN SMITH

BLOOMINGTON, IN
NPI1609457597
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: IN  39003923A)
Enumeration Date2021-04-21
Last Update Date2022-07-29
Business Address
ETHAN SMITH
420 S LANDMARK AVE
BLOOMINGTON, IN 47403-5000
Phone number: 812-369-4333
Mailing Address
ETHAN SMITH
420 S LANDMARK AVE
BLOOMINGTON, IN 47403-5000
Phone number: 812-369-4333
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