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1942622824
JESSICA LYNN SMITH
ARDMORE, OK
NPI
1942622824
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-01-13
Last Update Date
2014-01-13
Business Address
-- JESSICA LYNN SMITH
2530 S COMMERCE ST
ARDMORE, OK 73401-5519
Phone number: 580-223-2537
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Mailing Address
-- JESSICA LYNN SMITH
2530 S COMMERCE ST
ARDMORE, OK 73401-5519
Phone number: 580-223-2537
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