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1548890981
KIMBERLY JO SMITH
GRAND ISLAND, NE
NPI
1548890981
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NE 1327)
Enumeration Date
2020-01-24
Last Update Date
2020-01-24
Business Address
KIMBERLY JO SMITH BS, LADC
406 W KOENIG ST
GRAND ISLAND, NE 68801-6516
Phone number: 308-382-0422
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Mailing Address
KIMBERLY JO SMITH BS, LADC
406 W KOENIG ST
GRAND ISLAND, NE 68801-6516
Phone number: 308-382-0422
Copy
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