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1902281124
KRISTA MARIE SMITH
CLARKSVILLE, TN
NPI
1902281124
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Former Name
KRISTA MARIE BOURDON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2015-07-29
Last Update Date
2015-07-29
Business Address
-- KRISTA MARIE SMITH
1820 MEMORIAL CIR
CLARKSVILLE, TN 37043-4539
Phone number: 931-920-7333
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Mailing Address
-- KRISTA MARIE SMITH
7412B SNELL AVE
FORT CAMPBELL, KY 42223-3204
Phone number: 561-926-1296
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