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1205245958
ANTHONY SMITH
POMPANO BEACH, FL
NPI
1205245958
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: FL 4869)
Enumeration Date
2014-08-07
Last Update Date
2014-08-07
Business Address
Mr. ANTHONY SMITH
4120 NE 2ND AVE
POMPANO BEACH, FL 33064-3508
Phone number: 945-865-4967
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Mailing Address
Mr. ANTHONY SMITH
4120 NE 2ND AVE
POMPANO BEACH, FL 33064-3508
Phone number: 945-865-4967
Copy
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