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1174024590
RICHARD SMITH
LONGMONT, CO
NPI
1174024590
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-02-21
Last Update Date
2018-02-21
Business Address
RICHARD SMITH
850 23RD AVE STE A
LONGMONT, CO 80501-1115
Phone number: 303-245-0123
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Mailing Address
RICHARD SMITH
950 GRANDVIEW MDWS DR
LONGMONT, CO 80503-7741
Phone number:
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