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1174558290
EDWARD THOMAS SMITH
BURBANK, CA
NPI
1174558290
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA 31609)
Enumeration Date
2006-07-11
Last Update Date
2007-07-08
Business Address
Mr. EDWARD THOMAS SMITH MA, MFT
210 N PASS AVE STE 203
BURBANK, CA 91505-3936
Phone number: 818-288-3644
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Mailing Address
Mr. EDWARD THOMAS SMITH MA, MFT
1137 N ROSE ST
BURBANK, CA 91505-2410
Phone number: 818-848-2989
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