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1518679414
WILLIE SMITH
UPLAND, CA
NPI
1518679414
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 14558-RAC)
Enumeration Date
2022-12-22
Last Update Date
2022-12-22
Business Address
Mr. WILLIE SMITH 14558-RAC
1260 E ARROW HWY
UPLAND, CA 91786-4982
Phone number: 909-981-2171
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Mailing Address
Mr. WILLIE SMITH 14558-RAC
1260 E ARROW HWY
UPLAND, CA 91786-4982
Phone number: 909-981-2171
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