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1669743340
KELLY SMITH
PAHRUMP, NV
NPI
1669743340
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor Mental Health
Enumeration Date
2012-01-26
Last Update Date
2020-01-29
Business Address
KELLY SMITH PCW
240 S. HUMAHUACA
PAHRUMP, NV 89048
Phone number: 775-751-7406
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Mailing Address
KELLY SMITH PCW
240 S. HUMAHUACA
PAHRUMP, NV 89048
Phone number: 775-751-7406
Copy
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