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1861906968
TEDDY DIANE SMITH
RIVERSIDE, CA
NPI
1861906968
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-11-28
Last Update Date
2017-11-28
Business Address
TEDDY DIANE SMITH RADT1
5870 ARLINGTON AVE
RIVERSIDE, CA 92504-2037
Phone number: 951-683-6596
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Mailing Address
TEDDY DIANE SMITH RADT1
34966 AVENUE D
YUCAIPA, CA 92399-4420
Phone number: 909-744-2284
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