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1174146351
STAN SMITH SMITH
SOUTH PASADENA, CA
NPI
1174146351
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: CA LCSW91008)
Enumeration Date
2020-05-22
Last Update Date
2020-05-22
Business Address
MR. STAN SMITH SMITH LCSW
330 RAYMONDALE DR APT 2
SOUTH PASADENA, CA 91030-2118
Phone number: 818-632-6154
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Mailing Address
MR. STAN SMITH SMITH LCSW
330 RAYMONDALE DR APT 2
SOUTH PASADENA, CA 91030-2118
Phone number: 818-632-6154
Copy
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