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1932851094
DEREK SMITH
SPRINGFIELD, OR
NPI
1932851094
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR T-22-1372)
Enumeration Date
2022-01-20
Last Update Date
2022-01-20
Business Address
DEREK SMITH CADC-R
1651 CENTENNIAL BLVD
SPRINGFIELD, OR 97477-3363
Phone number: 541-762-4533
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Mailing Address
DEREK SMITH CADC-R
1651 CENTENNIAL BLVD
SPRINGFIELD, OR 97477-3363
Phone number: 541-762-4533
Copy
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