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1467283507
PETER SMICK
VENICE, CA
NPI
1467283507
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 148096)
Enumeration Date
2024-08-12
Last Update Date
2024-08-12
Business Address
PETER SMICK
2125 LOUELLA AVE
VENICE, CA 90291-4016
Phone number: 917-992-2936
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Mailing Address
PETER SMICK
2125 LOUELLA AVE
VENICE, CA 90291-4016
Phone number: 917-992-2936
Copy
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