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1023423597
JEREMY SMITH
PUEBLO, CO
NPI
1023423597
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CO LPC.0013489)
Enumeration Date
2014-06-24
Last Update Date
2017-01-04
Business Address
-- JEREMY SMITH
41 MONTEBELLO RD SUITE 200
PUEBLO, CO 81001-1379
Phone number: 719-545-2746
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Mailing Address
-- JEREMY SMITH
41 MONTEBELLO RD SUITE LL1
PUEBLO, CO 81001-1379
Phone number: 719-543-7115
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