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1902414063
TASHA LARAE SMITH
SAN MARCOS, CA
NPI
1902414063
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1379920320)
Enumeration Date
2020-07-15
Last Update Date
2020-07-15
Business Address
TASHA LARAE SMITH
1560 CAPALINA RD
SAN MARCOS, CA 92069-1288
Phone number: 760-744-2104
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Mailing Address
TASHA LARAE SMITH
1560 CAPALINA RD
SAN MARCOS, CA 92069-1288
Phone number: 760-744-2104
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