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1700552130
JACQUELINE SMITH
SANTA ROSA, CA
NPI
1700552130
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA 101515)
Enumeration Date
2021-08-17
Last Update Date
2021-08-17
Business Address
JACQUELINE SMITH lcsw
238 BOYCE ST
SANTA ROSA, CA 95401-5426
Phone number: 170-733-8319
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Mailing Address
JACQUELINE SMITH lcsw
238 BOYCE ST
SANTA ROSA, CA 95401-5426
Phone number: 170-733-8319
Copy
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