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1477703585
MARK SMITH
SOUTH DAYTONA, FL
NPI
1477703585
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW6959)
Enumeration Date
2008-09-25
Last Update Date
2008-09-25
Business Address
-- MARK SMITH LCSW
906 WELLS DR
SOUTH DAYTONA, FL 32119-2551
Phone number: 386-451-7364
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Mailing Address
-- MARK SMITH LCSW
906 WELLS DR
SOUTH DAYTONA, FL 32119-2551
Phone number: 386-451-7364
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