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1588965073
CASEY R. SMITH
PASCO, WA
NPI
1588965073
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CG60155231)
Enumeration Date
2010-11-15
Last Update Date
2010-11-15
Business Address
-- CASEY R. SMITH
1020 S 7TH AVE
PASCO, WA 99301-5794
Phone number: 509-547-9000
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Mailing Address
-- CASEY R. SMITH
PO BOX 1452
PASCO, WA 99301-1452
Phone number: 509-547-2204
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