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1801529672
CLARISSA KELLY SMITH
JACKSONVILLE, FL
NPI
1801529672
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-07-07
Last Update Date
2022-07-07
Business Address
CLARISSA KELLY SMITH
12276 SAN JOSE BLVD STE 508
JACKSONVILLE, FL 32223-8618
Phone number: 904-886-3228
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Mailing Address
CLARISSA KELLY SMITH
13505 FANSHOWE RD
JACKSONVILLE, FL 32246-1200
Phone number: 904-525-3715
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