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1265955942
RYAN MICHAEL SMITH
SAN PEDRO, CA
NPI
1265955942
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 178536)
Enumeration Date
2017-07-25
Last Update Date
2017-07-25
Business Address
Mr. RYAN MICHAEL SMITH C.A.T.C
1003 S BEACON ST
SAN PEDRO, CA 90731-4324
Phone number: 310-514-4940
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Mailing Address
Mr. RYAN MICHAEL SMITH C.A.T.C
1003 S BEACON ST
SAN PEDRO, CA 90731
Phone number: 310-514-4940
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