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1376553784
CLARA ELLEN SMITH
LARGO, FL
NPI
1376553784
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: TN LSW0000001039)
Enumeration Date
2006-08-08
Last Update Date
2007-07-08
Business Address
CLARA ELLEN SMITH LCSW
11701 BELCHER RD S SUITE 111
LARGO, FL 33773-5135
Phone number: 800-632-6074
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Mailing Address
CLARA ELLEN SMITH LCSW
264 PINECREST ST
MOUNTAIN CITY, TN 37683-1739
Phone number: 423-727-7684
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