KEENAN RAY TOM SMITH

UKIAH, CA
NPI1912500513
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225C00000X Rehabilitation Counselor
Enumeration Date2020-11-17
Last Update Date2020-11-17
Business Address
KEENAN RAY TOM SMITH
776 S STATE ST STE 107
UKIAH, CA 95482-5858
Phone number: 707-463-4915
Mailing Address
KEENAN RAY TOM SMITH
776 S STATE ST STE 107
UKIAH, CA 95482-5858
Phone number: 707-463-4915
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