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1457811887
GARETH ROBERT SMITH
BEAVERTON, OR
NPI
1457811887
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WA LW60159863)
Enumeration Date
2019-03-21
Last Update Date
2019-03-21
Business Address
GARETH ROBERT SMITH LICSW
14825 SW FARMINGTON RD
BEAVERTON, OR 97007-2724
Phone number: 503-753-1844
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Mailing Address
GARETH ROBERT SMITH LICSW
1601 E 4TH PLAIN BLVD
VANCOUVER, WA 98661-3713
Phone number: 503-753-1844
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