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1699010611
RANDALL S SMITH
AUSTIN, TX
NPI
1699010611
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 11317)
Enumeration Date
2012-12-03
Last Update Date
2012-12-03
Business Address
Mr. RANDALL S SMITH LCDC
8402 CROSS PARK DR
AUSTIN, TX 78754-4595
Phone number: 512-697-8500
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Mailing Address
Mr. RANDALL S SMITH LCDC
289 LAKE WASHINGTON DR
KYLE, TX 78640-5178
Phone number: 806-438-8923
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