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1093214959
WAYNE SMITH
PACOIMA, CA
NPI
1093214959
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2018-02-06
Last Update Date
2018-02-06
Business Address
WAYNE SMITH
12450 VAN NUYS BLVD STE 200
PACOIMA, CA 91331-1393
Phone number: 818-896-1161
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Mailing Address
WAYNE SMITH
12450 VAN NUYS BLVD STE 200
PACOIMA, CA 91331-1393
Phone number: 818-896-1161
Copy
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