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1386158103
LAURA MARIA SMYTH
PHOENIX, AZ
NPI
1386158103
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ LISAC-15025)
Enumeration Date
2017-12-01
Last Update Date
2017-12-01
Business Address
LAURA MARIA SMYTH LISAC
9201 N 5TH STREET
PHOENIX, AZ 85020-2532
Phone number: 602-331-5817
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Mailing Address
LAURA MARIA SMYTH LISAC
9201 N 5TH STREET
PHOENIX, AZ 85020-2532
Phone number: 602-331-5817
Copy
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