IAN KENNETH SMITH

MADISON, WI
NPI1932812617
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2022-12-28
Last Update Date2022-12-28
Business Address
IAN KENNETH SMITH
3113 E WASHINGTON AVE
MADISON, WI 53704-4330
Phone number: 608-416-5777
Mailing Address
IAN KENNETH SMITH
3113 E WASHINGTON AVE
MADISON, WI 53704-4330
Phone number: 608-416-5777
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