TONY LAVON SMITH

SPRINGFIELD, OR
NPI1528397494
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2009-12-23
Last Update Date2009-12-23
Business Address
MR. TONY LAVON SMITH
3995 MARCOLA ROAD THE CHILD CENTER
SPRINGFIELD, OR 97477
Phone number: 541-726-1465
Mailing Address
MR. TONY LAVON SMITH
3400 SW 173RD AVE
BEAVERTON, OR 97006-4526
Phone number:
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