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1942910302
MICKEY SMITH
MARION, OH
NPI
1942910302
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-11-28
Last Update Date
2022-11-28
Business Address
MICKEY SMITH
1065 DELAWARE AVE
MARION, OH 43302-6461
Phone number: 740-387-7246
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Mailing Address
MICKEY SMITH
1065 DELAWARE AVE
MARION, OH 43302-6461
Phone number:
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