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1104483486
LAFAYETTE SMITH
SAN BERNARDINO, CA
NPI
1104483486
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
175T00000X Peer Specialist
Enumeration Date
2019-05-22
Last Update Date
2021-01-19
Business Address
LAFAYETTE SMITH
600 N ARROWHEAD AVE
SAN BERNARDINO, CA 92401-1164
Phone number: 909-963-5355
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Mailing Address
LAFAYETTE SMITH
600 N ARROWHEAD AVE
SAN BERNARDINO, CA 92401-1164
Phone number: 909-963-5355
Copy
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