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1477152924
THEODORE SMITH
BATTLE CREEK, MI
NPI
1477152924
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801108197)
Enumeration Date
2020-10-25
Last Update Date
2020-10-25
Business Address
THEODORE SMITH
140 MICHIGAN AVE W
BATTLE CREEK, MI 49017-3602
Phone number: 269-966-1460
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Mailing Address
THEODORE SMITH
140 MICHIGAN AVE W
BATTLE CREEK, MI 49017-3602
Phone number: 269-966-1460
Copy
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