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1649439233
REGGIE A SMITH
FAIRFIELD, CA
NPI
1649439233
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA so504101523)
Enumeration Date
2008-06-09
Last Update Date
2008-06-09
Business Address
-- REGGIE A SMITH
1745 ENTERPRISE DR
FAIRFIELD, CA 94533-5801
Phone number: 707-427-6640
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Mailing Address
-- REGGIE A SMITH
1745 ENTERPRISE DR
FAIRFIELD, CA 94533-5801
Phone number: 707-427-6640
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