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1871108258
JERROLD SMITH
LOS ANGELES, CA
NPI
1871108258
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-09-11
Last Update Date
2020-09-11
Business Address
Mr. JERROLD SMITH
11900 AVALON BLVD
LOS ANGELES, CA 90061-2866
Phone number: 323-242-0500
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Mailing Address
Mr. JERROLD SMITH
11900 AVALON BLVD
LOS ANGELES, CA 90061-2866
Phone number: 323-242-0500
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