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1487499281
CHARLES STUART SMITH
VICTORVILLE, CA
NPI
1487499281
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1543910124)
Enumeration Date
2024-06-25
Last Update Date
2024-06-25
Business Address
CHARLES STUART SMITH RADT R1543910124
13333 PALMDALE RD
VICTORVILLE, CA 92392-9364
Phone number: 760-487-3600
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Mailing Address
CHARLES STUART SMITH RADT R1543910124
13333 PALMDALE RD
VICTORVILLE, CA 92392-9364
Phone number: 760-487-3600
Copy
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