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1891250148
LANTZ SMITH
FORT LIBERTY, NC
NPI
1891250148
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: TN LSW0000006836)
Enumeration Date
2019-01-31
Last Update Date
2024-02-05
Business Address
LANTZ SMITH
2817 ROCK MERRITT AVE
FORT LIBERTY, NC 28310-4547
Phone number: 910-908-5364
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Mailing Address
LANTZ SMITH
1812 HAYNES ST
CLARKSVILLE, TN 37043-4547
Phone number:
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