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1316440308
MICAH JOVAN SMITH
HENDERSON, NV
NPI
1316440308
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-03-15
Last Update Date
2018-03-15
Business Address
MICAH JOVAN SMITH
2501 N GREEN VALLEY PKWY STE 116-118
HENDERSON, NV 89014-0273
Phone number: 702-605-2766
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Mailing Address
MICAH JOVAN SMITH
2501 N GREEN VALLEY PKWY STE 116-118
HENDERSON, NV 89014-0273
Phone number: 702-605-2766
Copy
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