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1821256058
TREVIS SMITH
RESEDA, CA
NPI
1821256058
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-05-23
Last Update Date
2008-05-23
Business Address
-- TREVIS SMITH
7101 BAIRD AVE
RESEDA, CA 91335-4150
Phone number: 818-342-5897
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Mailing Address
-- TREVIS SMITH
7101 BAIRD AVE
RESEDA, CA 91335-4150
Phone number: 818-342-5897
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