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1508988908
MARK WILLIAM SMITH
MINNEAPOLIS, MN
NPI
1508988908
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: MN 11372)
Enumeration Date
2007-04-04
Last Update Date
2007-07-09
Business Address
MARK WILLIAM SMITH LICSW
5939 PORTLAND AVE
MINNEAPOLIS, MN 55417-3127
Phone number: 612-866-6100
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Mailing Address
MARK WILLIAM SMITH LICSW
5939 PORTLAND AVE
MINNEAPOLIS, MN 55417-3127
Phone number: 612-866-6100
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