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1871187401
ANDREW JAY SMITH
TERRE HAUTE, IN
NPI
1871187401
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IN 86000420A)
Enumeration Date
2021-02-24
Last Update Date
2021-02-24
Business Address
ANDREW JAY SMITH LAC
619 WASHINGTON AVE
TERRE HAUTE, IN 47802-1128
Phone number: 812-917-5006
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Mailing Address
ANDREW JAY SMITH LAC
226 MONTEREY AVE
TERRE HAUTE, IN 47803-2116
Phone number: 410-599-4225
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