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1083378764
MARCUS LACEY SMITH
SYRACUSE, NY
NPI
1083378764
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NY 005367)
Enumeration Date
2021-10-28
Last Update Date
2021-10-28
Business Address
Mr. MARCUS LACEY SMITH
1106 E GENESEE ST
SYRACUSE, NY 13210-1901
Phone number: 315-391-8482
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Mailing Address
Mr. MARCUS LACEY SMITH
1106 E GENESEE ST
SYRACUSE, NY 13210-1901
Phone number:
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