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1942391263
DENISE SUSANNE SMITH
SIERRA VISTA, AZ
NPI
1942391263
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ LISAC1355)
Enumeration Date
2006-09-28
Last Update Date
2007-07-08
Business Address
Ms. DENISE SUSANNE SMITH AA, LISAC
382 E WILCOX DR
SIERRA VISTA, AZ 85635-2528
Phone number: 520-459-2290
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Mailing Address
Ms. DENISE SUSANNE SMITH AA, LISAC
489 N ARROYO BLVD
NOGALES, AZ 85621-2644
Phone number: 520-287-4713
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