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1376690073
CHARLES EDWARD SMITH
SARASOTA, FL
NPI
1376690073
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist Clinical
(Licence: CA PSY11622)
Enumeration Date
2007-01-04
Last Update Date
2022-12-08
Business Address
DR. CHARLES EDWARD SMITH PH.D.
7332 GREAT EGRET BLVD
SARASOTA, FL 34241-2717
Phone number: 805-588-3221
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Mailing Address
DR. CHARLES EDWARD SMITH PH.D.
1305 N H ST STE A-115
LOMPOC, CA 93436-8138
Phone number: 805-588-3221
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