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1083481394
SAMUEL LAROY SMITH
LACEY, WA
NPI
1083481394
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA 61425227)
Enumeration Date
2023-12-06
Last Update Date
2023-12-06
Business Address
SAMUEL LAROY SMITH LMHCA
5622 PACIFIC AVE SE STE 1
LACEY, WA 98503-1271
Phone number: 360-888-0401
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Mailing Address
SAMUEL LAROY SMITH LMHCA
5622 PACIFIC AVE SE STE 1
LACEY, WA 98503-1271
Phone number: 360-888-0401
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