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1811643026
CANDICE SMITH
SAN RAFAEL, CA
NPI
1811643026
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-02-25
Last Update Date
2022-02-25
Business Address
CANDICE SMITH
1466 LINCOLN AVE
SAN RAFAEL, CA 94901-2021
Phone number: 415-457-3755
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Mailing Address
CANDICE SMITH
1466 LINCOLN AVE
SAN RAFAEL, CA 94901-2021
Phone number: 415-457-3755
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