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1023658887
LISA MARIE SMITH
SAINT LOUIS, MO
NPI
1023658887
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2020-01-09
Last Update Date
2020-01-09
Business Address
LISA MARIE SMITH MAC, LPC
4121 UNION RD STE 225
SAINT LOUIS, MO 63129-1093
Phone number: 314-406-8193
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Mailing Address
LISA MARIE SMITH MAC, LPC
8125 PARKWOOD DR
SAINT LOUIS, MO 63123-4830
Phone number: 314-406-8193
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