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1073764361
MATT SMITH
CEDAR BLUFF, VA
NPI
1073764361
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-10-05
Last Update Date
2008-10-05
Business Address
-- MATT SMITH
111 TOWN HOLLOW RD
CEDAR BLUFF, VA 24609-9622
Phone number: 276-963-3554
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Mailing Address
-- MATT SMITH
111 TOWN HOLLOW RD
CEDAR BLUFF, VA 24609-9622
Phone number: 276-963-3554
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