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1235290503
TIM R CROSSLEYSMITH
SANTA ROSA, CA
NPI
1235290503
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: CA 20986)
Enumeration Date
2006-12-12
Last Update Date
2014-06-30
Business Address
-- TIM R CROSSLEYSMITH
3322 CHANATE RD
SANTA ROSA, CA 95404-1708
Phone number: 707-565-4980
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Mailing Address
-- TIM R CROSSLEYSMITH
3322 CHANATE RD
SANTA ROSA, CA 95404-1708
Phone number:
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