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1215646369
SARA VANESSA SMITH
INDIO, CA
NPI
1215646369
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1443900921)
Enumeration Date
2022-11-17
Last Update Date
2022-11-17
Business Address
SARA VANESSA SMITH RADT
47383 DIANE ST
INDIO, CA 92201-8702
Phone number: 760-984-7185
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Mailing Address
SARA VANESSA SMITH RADT
47383 DIANE ST
INDIO, CA 92201-8702
Phone number: 760-984-7185
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