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1669944260
JAMES ANTONIO SMITH
LAWRENCEVILLE, GA
NPI
1669944260
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: GA 1140)
Enumeration Date
2018-12-19
Last Update Date
2018-12-19
Business Address
Mr. JAMES ANTONIO SMITH BSC, CADC II, ICADC
669 CASTLEBOTTOM DR
LAWRENCEVILLE, GA 30045-2796
Phone number: 518-955-8868
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Mailing Address
Mr. JAMES ANTONIO SMITH BSC, CADC II, ICADC
669 CASTLEBOTTOM DR
LAWRENCEVILLE, GA 30045-2796
Phone number:
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