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1710572904
DALLAS MARIE SMITH
VANCOUVER, WA
NPI
1710572904
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
(Licence: WA CG61130502)
Enumeration Date
2021-03-09
Last Update Date
2021-03-09
Business Address
DALLAS MARIE SMITH
2924 FALK RD
VANCOUVER, WA 98661-5604
Phone number: 360-690-3069
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Mailing Address
DALLAS MARIE SMITH
2611 NE 104TH ST
VANCOUVER, WA 98686-5761
Phone number: 360-281-3576
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