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1710554407
IAN SMITH
AUSTIN, TX
NPI
1710554407
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: TX 70502)
Enumeration Date
2021-06-10
Last Update Date
2021-06-10
Business Address
IAN SMITH LPC
300 BEARDSLEY LN
AUSTIN, TX 78746-4945
Phone number: 512-537-5647
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Mailing Address
IAN SMITH LPC
2102 COCHISE TRL
AUSTIN, TX 78733-1611
Phone number: 512-537-5647
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