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1053516740
STEPHEN R SMITH
VACAVILLE, CA
NPI
1053516740
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA IMF45432)
Enumeration Date
2007-06-20
Last Update Date
2007-07-08
Business Address
-- STEPHEN R SMITH MFT-I, RAS
1286 CALLEN ST
VACAVILLE, CA 95688-3002
Phone number: 707-447-8982
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Mailing Address
-- STEPHEN R SMITH MFT-I, RAS
285 LOCH LOMOND DR
VACAVILLE, CA 95687-5196
Phone number: 707-454-0256
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