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1295095834
DIANE SMART
TACOMA, WA
NPI
1295095834
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NV 5712C)
Enumeration Date
2012-05-16
Last Update Date
2019-03-08
Business Address
DIANE SMART
9040 JACKSON AVE
TACOMA, WA 98431-5027
Phone number: 253-967-4452
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Mailing Address
DIANE SMART
9040 JACKSON AVE 9040 JACKSON AVE
TACOMA, WA 98431-0001
Phone number: 253-967-4452
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