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1073639167
SHAWN M SMITH
SAN JOSE, CA
NPI
1073639167
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-03-21
Last Update Date
2007-07-08
Business Address
-- SHAWN M SMITH
1281 FLEMING AVE
SAN JOSE, CA 95127-3610
Phone number: 408-259-6565
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Mailing Address
-- SHAWN M SMITH
139 CARL AVE
SANTA CRUZ, CA 95062-1321
Phone number:
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