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1033161963
LAWRENCE EDWARD SMITH
PORT JERVIS, NY
NPI
1033161963
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY R029100)
Enumeration Date
2006-05-17
Last Update Date
2007-07-08
Business Address
Mr. LAWRENCE EDWARD SMITH LCSW
15 SHIN HOLLOW RD
PORT JERVIS, NY 12771-3821
Phone number: 845-866-5542
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Mailing Address
Mr. LAWRENCE EDWARD SMITH LCSW
15 SHIN HOLLOW RD
PORT JERVIS, NY 12771-3821
Phone number: 845-866-5542
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