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NPI Profile for CHARLES R SMITH in OGDEN, UT.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X | |||
Pastoral |
101YP1600X | |||
Professional |
101YP2500X |
| NPI # | 1053538975 |
|
| Status | Active | |
| Credentials | C.M.H.C. | |
| Entity | Individual | |
| Enumeration date | 04/20/2007 | |
| Last updated | 12/24/2018 - About 7 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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CHARLES R SMITH
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CHARLES R SMITH, C.M.H.C.