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1861163701
DAVID MICHAEL SMITH
SANTA ROSA, CA
NPI
1861163701
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 941694676)
Enumeration Date
2021-09-21
Last Update Date
2021-09-21
Business Address
Mr. DAVID MICHAEL SMITH
2403 PROFESSIONAL DR STE 101
SANTA ROSA, CA 95403-3007
Phone number: 707-544-3295
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Mailing Address
Mr. DAVID MICHAEL SMITH
2403 PROFESSIONAL DR STE 101
SANTA ROSA, CA 95403-3007
Phone number: 707-544-3295
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