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1134214463
DANIEL KEITH SMITH
MODESTO, CA
NPI
1134214463
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC34288)
Enumeration Date
2006-10-03
Last Update Date
2012-03-27
Business Address
Mr. DANIEL KEITH SMITH MFT
1101 STANDIFORD AVE SUITE A-7
MODESTO, CA 95350-0981
Phone number: 209-522-2285
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Mailing Address
Mr. DANIEL KEITH SMITH MFT
1101 STANDIFORD AVE SUITE A-7
MODESTO, CA 95350-0981
Phone number: 209-522-2285
Copy
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