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1386139632
IRIS LYNETE SMITH-SECORD
SAN DIEGO, CA
NPI
1386139632
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA Aii055890518)
Enumeration Date
2018-06-28
Last Update Date
2018-06-28
Business Address
IRIS LYNETE SMITH-SECORD Aii055890518 CADC II
2410 E ST
SAN DIEGO, CA 92102-2024
Phone number: 619-234-3346
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Mailing Address
IRIS LYNETE SMITH-SECORD Aii055890518 CADC II
2410 E ST
SAN DIEGO, CA 92102-2024
Phone number: 619-234-3346
Copy
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