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1841799418
JODY LYNN SMITH
MODESTO, CA
NPI
1841799418
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA Ci40260923)
Enumeration Date
2018-02-08
Last Update Date
2024-04-10
Business Address
JODY LYNN SMITH
190 E HACKETT RD
MODESTO, CA 95358-9001
Phone number: 209-525-7218
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Mailing Address
JODY LYNN SMITH
190 E HACKETT RD
MODESTO, CA 95358-9001
Phone number: 209-525-7218
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