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1609654334
TAKESHA S SMITH
CENTRALIA, WA
NPI
1609654334
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Additional Taxonomies
101Y00000X Counselor
(Licence: WA CG61486780)
Enumeration Date
2023-09-14
Last Update Date
2023-09-14
Business Address
TAKESHA S SMITH
2428 W REYNOLDS AVE
CENTRALIA, WA 98531-4554
Phone number: 360-330-9044
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Mailing Address
TAKESHA S SMITH
2428 W REYNOLDS AVE
CENTRALIA, WA 98531-4554
Phone number: 360-330-9044
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