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1093986895
THERESE M SMITH
PHOENIX, AZ
NPI
1093986895
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ LISAC-10977)
Enumeration Date
2008-03-19
Last Update Date
2008-03-19
Business Address
Ms. THERESE M SMITH MAEd- LISAC
4129 E VAN BUREN ST
PHOENIX, AZ 85008-6939
Phone number: 602-269-5331
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Mailing Address
Ms. THERESE M SMITH MAEd- LISAC
4129 E VAN BUREN ST
PHOENIX, AZ 85008-6939
Phone number: 602-269-5331
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