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1083257323
GARY JAMES SMITH
SAN MATEO, CA
NPI
1083257323
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA A021151115)
Enumeration Date
2019-10-18
Last Update Date
2019-10-18
Business Address
GARY JAMES SMITH CADC II, ICADC
416 2ND AVE
SAN MATEO, CA 94401-3205
Phone number: 650-579-7158
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Mailing Address
GARY JAMES SMITH CADC II, ICADC
2600 S EL CAMINO REAL STE 200
SAN MATEO, CA 94403-2382
Phone number: 650-579-7158
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