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1174754923
MITCHELL THOMAS SMITH
NAMPA, ID
NPI
1174754923
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: ID 4360)
Enumeration Date
2009-07-28
Last Update Date
2009-07-28
Business Address
Mr. MITCHELL THOMAS SMITH MS, LPC
4144 E AMITY AVE
NAMPA, ID 83687-8802
Phone number: 208-465-4985
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Mailing Address
Mr. MITCHELL THOMAS SMITH MS, LPC
4144 E AMITY AVE
NAMPA, ID 83687-8802
Phone number: 208-465-4985
Copy
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