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1790993012
THOMAS ROSHA SMITH
LEMON GROVE, CA
NPI
1790993012
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-05-18
Last Update Date
2007-07-08
Business Address
-- THOMAS ROSHA SMITH
2049 SKYLINE DR
LEMON GROVE, CA 91945-4221
Phone number: 619-465-7303
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Mailing Address
-- THOMAS ROSHA SMITH
2049 SKYLINE DR
LEMON GROVE, CA 91945-4221
Phone number: 619-465-7303
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