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1386087260
MICHILENE SHANESE SMITH
LANCASTER, CA
NPI
1386087260
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2013-04-10
Last Update Date
2023-12-27
Business Address
Ms. MICHILENE SHANESE SMITH
44447 10TH ST W
LANCASTER, CA 93534
Phone number: 661-726-2630
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Mailing Address
Ms. MICHILENE SHANESE SMITH
1846 E NEWGROVE ST
LANCASTER, CA 93535-3483
Phone number: 661-524-3939
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