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1851856256
JOSHUA JACOB SMITH
JACKSON, MI
NPI
1851856256
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MI 6401014015)
Enumeration Date
2019-02-10
Last Update Date
2019-02-10
Business Address
JOSHUA JACOB SMITH
207 1ST ST
JACKSON, MI 49201-2102
Phone number: 517-998-4673
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Mailing Address
JOSHUA JACOB SMITH
207 1ST ST
JACKSON, MI 49201-2102
Phone number: 517-998-4673
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