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1245098995
RORY LEGRANT SMITH
SAN DIEGO, CA
NPI
1245098995
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1543820124)
Enumeration Date
2024-03-07
Last Update Date
2024-03-07
Business Address
RORY LEGRANT SMITH RADT
1530 DALE ST SAN DIEGO
SAN DIEGO, CA 92102
Phone number: 619-915-5710
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Mailing Address
RORY LEGRANT SMITH RADT
1530 DALE ST SAN DIEGO
SAN DIEGO, CA 92102
Phone number: 619-915-5710
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