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1720538499
DAVID SMITH
KENOSHA, WI
NPI
1720538499
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: WI 6231-125)
Enumeration Date
2016-10-06
Last Update Date
2016-10-06
Business Address
-- DAVID SMITH LPC
10900 67TH STREET
KENOSHA, WI 53142
Phone number: 262-914-7422
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Mailing Address
-- DAVID SMITH LPC
5439 DURAND AVE SUITE 240B
MOUNT PLEASANT, WI 53406-5058
Phone number: 262-914-7422
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