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1003481573
LARISSA SMITH
TYLER, TX
NPI
1003481573
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 65056)
Enumeration Date
2021-05-26
Last Update Date
2024-05-14
Business Address
LARISSA SMITH LCSW
5380 OLD BULLARD RD STE 600-129
TYLER, TX 75703-3607
Phone number: 903-707-3187
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Mailing Address
LARISSA SMITH LCSW
5380 OLD BULLARD RD STE 600-129
TYLER, TX 75703-3607
Phone number: 903-707-3187
Copy
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