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1013221407
MARVIN LEIGH SMITH
TAVARES, FL
NPI
1013221407
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL sw11133)
Enumeration Date
2010-07-28
Last Update Date
2013-02-20
Business Address
-- MARVIN LEIGH SMITH isw
101 E MAUD ST
TAVARES, FL 32778-3249
Phone number: 352-253-9348
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Mailing Address
-- MARVIN LEIGH SMITH isw
101 E MAUD ST
TAVARES, FL 32778-3249
Phone number: 352-253-9348
Copy
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