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1689165664
KELLEY ANN SMITH
MEDFORD, OR
NPI
1689165664
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 17-07-25)
Enumeration Date
2018-05-24
Last Update Date
2020-10-17
Business Address
KELLEY ANN SMITH CADC I, CRM
300 W MAIN ST
MEDFORD, OR 97501-2756
Phone number: 541-772-1777
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Mailing Address
KELLEY ANN SMITH CADC I, CRM
300 W MAIN ST
MEDFORD, OR 97501-2756
Phone number: 541-772-1777
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